Forms - Official / Local

Official Bankruptcy Forms

Click here for Official Bankruptcy Forms, including Voluntary Petition, Schedules and Statement of Financial Affairs. The forms are posted on the Federal Judiciary's Web site. Director's Procedural Forms are also posted on the site.

Local Forms
Form (Last Revised)
Adversary Cover Sheet (1/7/08)
Affidavit Pursuant to Local Rule 1007-1(b) (1/14/04)
Affidavit Pursuant to Local Rule 1009-1(a) (3/27/03)
Application/Order Directing Correction of SSN(s)/Other ITIN(s) -
Application: Attorneys (12/1/07)  Pro Se Debtors (12/1/07)
Order: Attorneys (12/1/07)  Pro Se Debtors (12/1/07)
Application for Waiver of Chapter 7 Filing Fee (12/1/07)
Application To Pay Filing Fee In Installments (12/1/07)
Civil Cover Sheet, Bankruptcy Appeal (4/10/03)
Civil Cover Sheet, Motion To Withdraw Reference (5/24/04)
Cover Sheet, Direct Appeal To Court of Appeals (3/1/06)
Credit Counseling Requirement - Ex Parte Motion for a Temporary Exemption (10/02/06) Motion for Waiver (3/20/06)
Debtor’s Summary of Chapter 13 Plan (1/23/03)
Notice to Individual Consumer Debtor (4/9/06)
Order Amending Caption to Correct Name - Court data entry error (7/25/05)  Per debtor's application (6/2/06)
Order and Notice of Automatic Stay Affecting Wage Garnishment or Execution (12/18/07)
Payment Advices Cover Sheet (4/11/06
Pro Hac Vice Admission -
Bankruptcy Case: Motion to Admit (3/27/03) Affirmation in Support (3/27/03) Order (7/1/03) 
Adversary Proceeding: Motion to Admit (3/27/03) Affirmation in Support (3/27/03) Order (7/1/03)
Proof of Claim -
For cases filed before 4/1/07 (10/1/05) For cases filed on or after 4/1/07 (12/1/07)
Reaffirmation Agreement - Form B240a (1/30/07) Reaffirmation Agreement - Order Form B240b (1/30/07)
Statement of Social Security Number (or Other Individual Taxpayer Identification Number) (12/1/07)
Statement Pursuant to Local Bankruptcy Rule 1073-2(b) (8/17/01)
Summons to Debtor, Involuntary Case Brooklyn Cases  (11/15/05) Central Islip Cases (12/21/06)
When a petition is filed over the Internet, the associated summons should be e-mailed to:
NYEB_BRSummons@nyeb.uscourts.gov (Brooklyn cases) or NYEB_CISummons@nyeb.uscourts.gov (Central Islip cases)
Summons and Notice of Pretrial Conference - Brooklyn Cases (11/15/05)  Central Islip Cases (1/10/08)
Summons in an Adversary Proceeding - Cases before Judge Trust (4/23/08)
In proceedings assigned to the court's Electronic Case Filing system, the completed form should be e-mailed to:
NYEB_BRSummons@nyeb.uscourts.gov (Brooklyn cases) or NYEB_CISummons@nyeb.uscourts.gov (Central Islip cases)
Third-Party Summons and Notice of Pretrial Conference - Brooklyn Cases (8/15/07)  Central Islip Cases (8/15/07)
In proceedings assigned to the court's Electronic Case Filing system, the completed form should be e-mailed to:
NYEB_BRSummons@nyeb.uscourts.gov (Brooklyn cases) or NYEB_CISummons@nyeb.uscourts.gov (Central Islip cases)
Verification of Credit Matrix/List of Creditors (3/17/05)