Official site of the U.S. District Court for the Middle District of Florida

FORMS , POLICIES, & PUBLICATIONS

	Forms are provided in Adobe PDF format. If you do not have Adobe Acrobat Reader, please click on the button to the left to install it at this time. Documents are categorized and listed in alphabetical order. Most, but not all, forms on this site are provided in fillable format. Fillable forms are indicated by a pencil icon. Notice: As of December 1, 2007, only the city and state of the filer's residence and only the last four digits of the filer's Social Security number should be disclosed on Appellate Form 4.
	GENERAL
	Name	Number	Revised
	Affidavit of Indigency	DC 101
	Application to Proceed Without Prepayment of Costs - Long Form	AO 239	1/2009
	Application to Proceed Without Prepayment of Costs - Short Form	AO 240	6/2009
	Application for Judicial Branch Appointment	AO 78	10/2009
	Apostille (Convention de La Haye, 5 Octobre 1961)	AO 390
	Apostille Index Card	AO 392	5/1981
	Apostille Speciment Signature Card	AO 391	5/1981
	Apostille - Statement of Effect of Index Card	AO 393	5/1981
	Arbitrator's Claim for Compensation Form	MDFL	6/2004
	Attendance and Transcripts of Court Reporters	AO 40A	2/2008
	Brief Guide to Service and Procedures	MDFL	12/2006
	Certified Copy	AO 30	8/1998
	Exemplification Certificate	AO 132	12/2003
	Fee Schedule	MDFL	7/2006
	Interpreter Claim Form	MDFL	1/2010
	Contract Court Interpreter Application	MDFL	2/2010
	Contract Court Interpreter Change Form		3/2007
	Judiciary Equal Employment Opportunity Program	AO 342	11/1987
	Local Rules	MDFL	5/2006
	Petition for Name Change	AO 115	1/2009
	Plan for Bar Admissions	MDFL	12/2009
	Plan for the Qualification and Selection of Grand Petit Jurors	MDFL	5/2005
	Post Judgment Interest Rates	MDFL	12/2000
	Process Receipt and Return See instructions for "Service of Process by U.S. Marshals"	USM 94	3/2004
	Reinstatement of Federal Benefits	AO 249	1/2009
	Report on Filing Patent/Trademark	AO 120	3/2004
	Request for Service Abroad of Judicial Or Extrajudicial Documents Please see FAQs regarding seving legal documents abroad.	USM 94	11/2000
	Rule Of The Judicial Council Of The Eleventh Circuit Governing Complaints Of Judicial Misconduct Or Disability		1/2002
	11th Circuit Transcript Order Form		2/2006
	Writ Of Execution	DC 11	1/2009

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	CIVIL
	Name	Number	Revised
	Authority To Reimburse Court Appointed Counsel	MDFL	8/2006
	Bill of Cost	AO 133	12/2009
	Certification of Judgment	AO 451	1/2009
	Civil Cover Sheet	JS 44	12/2007
	Civil Discovery Practice Handbook	MDFL	9/2001
	Consent to Exercise (over specific motion(s)) - Magistrate Judge	AO 85A	1/2009
	Description of the Mediation Process	MDFL	9/2001
	Exhibit and Witness List and Exhibit Tags - (See Judges' courtroom procedure for preferred forms.)
	Federal Records Handouts	NARA	10/2007
	Local Rules	MDFL	5/2006
	Magistrate Consent Form	AO 85	1/2009
	Mediator's Application	MDFL	8/2007
	Mediator List	MDFL	2/2010
	Mediation Report	MDFL	7/2004
	Notice/Waiver of Summons	AO 398	1/2009
	Notice of Appearance	AO 458	6/2009
	Notice Re: Pre-Marking of Exhibits with Exhibit List & Tags - (See Judges' courtroom procedure for preferred forms.)	MDFL
	Subpoena/Civil	AO 88	6/2009
	Subpoena / Deposition	AO 88A	6/2009
	Subpoena / Produce Documents	AO 88B	6/2009
	Summons/Civil	AO 440	12/2009
	Third Party Summons	AO 441	12/2009
	Waiver of Service of Summons	AO 399	1/2009

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	CRIMINAL
	Name	Number	Revised
	Agreement to Forfeit Property	AO 100	6/2009
	Appearance Bond	AO 98	1/2009
	Bail Information Sheet	AO 100A	1/2009
	Consent to Proceed Before A Magistrate in a Misdemeanor	AO 86A	1/2009
	Consent / Arraignment - For Tampa Use Only	MDFL
	Deposition Subpoena	AO 90	8/2009
	Exhibit and Witness List - (See Judges' courtroom procedure for preferred forms.)	MDFL
	Federal Record Handouts	NARA	10/2007
	Guilty Plea - Ft. Myers Only	MDFL
	Information for Persons Posting Bond	MDFL	3/2002
	Subpoena/criminal	AO 89	8/2009
	Surety Information Sheet	AO 100B	1/2009
	Waiver of Indictment	AO 455	1/2009
	Waiver of Rule 32.1 Hearings	AO 466	1/2009
	Waiver of Rule 5 and 5.1 Hearings	AO 466A	1/2009
	Waiver of Preliminary Examination or Hearing	AO 468	1/2009


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	ATTORNEY
	Name	Number	Revised
	Public Notice: CJA Panel Membership	MDFL	8/2007
	CJA Registration	MDFL	10/2005
	CJA - Panel Application	MDFL	4/2009
	CJA 20 - Appointment/Authority to Pay Court Appointed Counsel	MDFL	12/2003
	CJA 20 - Detailed Instructions Jacksonville Ocala Orlando Tampa Ft. Myers	MDFL	1/2010
	CJA 21 - Authorization & Voucher for Expert and Other Services	MDFL	1/2006
	CJA 23 - Financial Affidavit	MDFL	5/1998
	CJA 24 - Authorization & Voucher for Payment of Transcript	MDFL	10/2009
	CJA 30 - Death Penalty Proceedings: Pay Court Appointed Counsel	MDFL	9/2009
	CJA 30 Worksheet	MDFL	12/2008
	CJA 31 - Death Penalty Proceedings: Ex Parte Request for Expert & Other Services Vouchers	MDFL	9/2005
	CJA & Mileage Rates	MDFL	1/2010
	CJA Out Of Court Hourly Worksheet	MDFL	6/2009
	CJA In Court Hourly Worksheet	MDFL	2/2008
	CJA Other Expense Worksheet	MDFL	2/2008
	Attorney Admission Application	MDFL	8/2007
	CM/ECF Registration Form	MDFL	Automated
	Application for Special Admission to Practice (Motions for pro hac vice &/or out of state counsel not admitted)	MDFL	6/2004

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	PRISONER
	Name	Number	Revised
	Habeas Corpus (28 § 2254)	MDFL	8/2008
	Motion to Vacate (28 § 2255)	MDFL	8/2008
	28 USC § 2244(b) Application for Leave to File a Second or Successive Habeas Corpus Petition	CA11	1/2001
	Prisoner Civil Rights (42 § 1983)	MDFL	8/2007
	28 USC § 2255 Application for Leave to File a Second or Successive Motion to Vacate, Set Aside or Correct Sentence	CA11	1/2001

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