Use this form if disclosing your address on a Protective Order petition would put you at risk of further harm

Request to shield my address/telephone number in a criminal case record

Use this form to apply for a Public Defender to represent you in a criminal or traffic case that carries a penalty of incarceration, and you cannot afford an attorney. You will need to provide information about your income, expenses, and assets.

Note: You must also complete, sign, and submit the DC-099A – Informed Consent Release Form.

Use this form in a domestic violence case. 

Use this form if requesting to shield domestic violence (CC-DC-DV-021 A or B) or peace order (CC-DC-PO-016 A or B) records and it is earlier than three (3) years after the denial or dismissal of the petition or after the consent expires. This is a release of all the requesting party’s claims for damages relating to this proceeding and  any and all tort claims that may arise out of this  proceeding.

Note: MDJ-004GI must be accompanied by MDJ-010 (Confidentiality Notice)

This form must accompany the DC-099 - Application for Representation by OPD, which gives the Office of the District Court Commissioner access to review certain confidential information (including benefits information and wages earned) in determine if you are eligible for representation by the Office of the Public Defender.

Note: MDJ-004C must be accompanied by MDJ-010 (Confidentiality Notice)

Use this form to request revision or creation of District Court, Circuit Court, and joint judiciary forms. NOTE: Include any mark-ups and supporting documentation, with your request to: [email protected]

Americans with Disabilities Grievance Form

Use this form to ask the court to give an order that the court or another party to the case do something. You must file your written motion with the court.  You must also serve a copy to the other parties in the case by first class mail or hand delivery.