Official and Local Forms

The following forms are available, free of charge, to the bar and public. The files listed below are PDF (Portable Document Format) files, and users must have the Adobe Acrobat Reader to view and print the forms.  The Adobe Acrobat Reader is free and available for download at  

Select a forms category for a list of available forms:

bullet Official Bankruptcy Forms and Director's Procedural Forms*
bullet Frequently Requested National Forms
bullet Garnishment Forms Information
bullet Western District of Kentucky - Local Forms


*Official Bankruptcy Forms and Director's Procedural Forms

Please be advised that the Court does not provide paper copies of the forms for the Voluntary Petition and bankruptcy schedules. For a list of all forms required to file a new bankruptcy and links to electronic copies of those forms (including the petition and schedules), please visit the Filing Without an Attorney web page.


Frequently Requested National Forms

The following list of forms includes those Official Bankruptcy Forms and Director's Procedural Forms that are most commonly requested from the Clerk's Office by the bar and public. Hard copies of the forms listed below are available in the Customer Service area of the Clerk's Office in the Court's Louisville divisional office.  

bullet Adversary Proceeding Cover Sheet
bullet Appearance of Child Support Creditor or Representative
bullet Application for Individuals to Pay the Filing Fee in Installments
bullet Application to Have the Chapter 7 Filing Fee Waived
bullet Caption for Use in Adversary Proceeding other than for a Complaint Filed by a Debtor
bullet Chapter 7 Statement of Your Current Monthly Income
bullet Chapter 11 Statement of Your Current Monthly Income
bullet Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period
bullet General Power of Attorney
bullet Notice of Appeal and Statement of Election
bullet Notice Required by 11 U.S.C §342(b) for Individuals Filing for Bankruptcy
bullet Proof of Claim
bullet Reaffirmation Agreement
bullet Special Power of Attorney
bullet Subpoena to Produce Documents, Information, or Objects or to Permit Inspection of Premises in a Bankruptcy Case (or Adversary Proceeding)
bullet Subpoena for Rule 2004 Examination
bullet Your Statement About Your Social Security Numbers

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Garnishment Forms Information

Unless the federal government is the judgment creditor, the law of the state in which the federal court is located governs the process for garnishments and for most writs of execution . As such, garnishment forms should be filed with the Court using the forms available from the Commonwealth of Kentucky via the Circuit Court Clerk’s Office. (httpss:// To this Court’s current knowledge, not all state forms are available online as the current Kentucky garnishment form is a multi-part form with carbonless copies.

The state forms do require minor modifications when issued by the Bankruptcy Court Clerk  (e.g.,  reflecting the Bankruptcy Court is the issuing court and correcting the Clerk of Court’s title). The Clerk’s Office is happy to make these modifications when processing the garnishment. In addition to the state forms, a copy of the signed judgment or order from the bankruptcy case or adversary proceeding must be submitted. Filers may submit the required documents in person or by mail, and if doing so by mail, should include a postage paid envelope for return of the forms once issued.

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Western District of Kentucky - Local Forms

The Local Forms are forms developed here in the Western District of Kentucky for use by the Bar and Public. All local forms are incorporated into the Clerks Office Administrative Manual. When filing one of these documents, substantial compliance with the Local Bankruptcy Form is required. Other documents on the list are provided for informational purposes and to provide guidance when filing a specific document with the Court. The Local Forms are available in PDF (Portable Document Format) and Word formats. Please note that some forms are not available in a fillable PDF format. An asterisk next to the PDF form (eg. PDF*) indicates that this form is not available in a fillable format. Also, some forms may have been removed as they are no longer in use. To view and save a Local Form listed below, please click on your preferred format in the chart. To view the Local Rules for the Western District of Kentucky, click here.

If you are an electronic filer, please keep in mind that any Word form you use will need to be converted to PDF before filing (if filing a motion and order, the order should be a separate PDF document from the motion).

Local Form

Description of Form

Link to PDF Version Link to Word Version


Appendix to Motion for Relief From Stay - Chapter 13 Real Property  PDF Word


Certificate of Service and Notice of Amendment to Schedules PDF Word


ECF-Limited Use/Claim Password Registration Form PDF Word


ECF-Attorney Registration Form PDF Word


Motion and Order by Secured Creditor for Abandonment of Property PDF* Word


Motion and Order to Suspend Payments PDF* Word


Motion and Order to Incur Credit Post-Confirmation PDF* Word


Motion and Order to Redeem Property PDF* Word


Motion and Order to Avoid Lien PDF* Word


Motion and Order to Limit Noticing Requirements PDF* Word


Motion and Order to Disburse Unclaimed Monies PDF* Word


Schedule of Allowed Claims PDF Word


Motion and Order to Strip Off a Junior Lien PDF* Word


Motion and Order to Extend Time for Credit Counseling PDF* Word


Motion and Order for Exemption from Credit Counseling PDF* Word


Motion and Order for Exemption from Financial Management Instructional Course PDF* Word


Chapter 13 Certification of Plan Completion and Request for Discharge PDF Word


Chapter 13 Certification of Debtor Information Regarding Request for Hardship Discharge PDF Word


Chapter 11 Certification of Plan Completion and Request for Discharge PDF Word


Chapter 11 Certification of Debtor Eligibility Regarding Request for Hardship Discharge PDF Word


Chapter 11 Certification and Request for Entry of Final Decree **NOW AVAILABLE AS A VIRTUAL EVENT WITH NO PDF DOCUMENT REQUIRED** PDF Word


Chapter 12 Certification of Plan Completion and Request for Discharge PDF Word


Chapter 12 Certification of Debtor Information Regarding Request for Hardship Discharge PDF Word


Small Business Subchapter V Status Conference Report PDF Word


Order Granting Application to Proceed In Forma Pauperis - Initial Filing Fee PDF Word


 Notice of Objection to Claim PDF Word


  Format for Creditor Matrix PDF  
  Order Continuing Section 341 Meeting PDF Word
  Sequence of Petition & Schedules PDF  
  Request for Audio Recording PDF  

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This page was last edited on 06/03/2020 at 01:03 PM .