Local Form Form Type Description Complete Set of All Local Bankruptcy Forms Small Business Debtor's Chapter 11 Plan of Reorganization [or Liquidation] for Subchapter V Form 1A Declaration RE: Electronic Filing of Petition, Schedules & Statements Form 1B Declaration RE: Electronic Filing of Petition, Schedules & Statements for Individual Debtor Not Represented By Counsel Form 2 Ex Parte Motion for Designation as Complex Chapter 11 Bankruptcy Case Form 3 Initial Order for Complex Chapter 11 Bankruptcy Case Form 4A Reserved Form 4B Reserved Form 4C Notice of Termination of CM/ECF Privileges Form 5 Chapter 13 Business Case Questionnaire Form 6 Amendment Cover Sheet Form 7 Certificate of Service Form 8 Summary Cover Sheet and Notice of Hearing On Professional Fees In Chapters 7, 12 And 13 Form 9 Summary Cover Sheet For Fee Applications In Chapter 11 and Chapter 15 Form 10 Chapter 13 Plan Dated __________ A flat (not fillable) PDF is also available Form 11 Ex Parte Motion for Order to Pay Trustee Pursuant to Wage Attachment Form 12 Notification of Debtor’s Social Security Number Form 13 Disclosure Statement to Accompany Plan Dated ______ Form 14 Report for Bankruptcy Judges in Cases To Be Closed Chapter 11 Cases Form 15 Omnibus Declaration of Plan Sufficiency for Mortgage Payment Changes Form 16 Certification That Briefing Completed Form 17 Motion For Withdrawal of Appearance and Termination of CM/ECF Record Form 18 Motion For Pro Hac Vice Admission Form 19 Appearance of Child Support Creditor or Representative Form 20 Notice and Order Setting Hearing on an Expedited Basis Form 21 Domestic Support Obligation Certification Form 22 Domestic Support Obligation Claim Holder Report Form 23 Reserved Form 24 Debtor’s Certification of Discharge Eligibility Form 25 Certification of No Objection Regarding (Insert Pleading Title And Document Number) Form 26 Settlement and Certification of Counsel Regarding (Insert Pleading Title) Form 27 Reserved Form 28 Document and Loan History Abstract Form 29 Notice Regarding Filing of Mailing Matrix Form 30 Notice Regarding Modification To Mailing Matrix Form 31 Application For Admission To Bankruptcy Mediation Program Register Form 32 Mediator’s Certificate Of Completion Of Mediation Conference Form 33 Reserved Form 34 Reserved Form 35 Notice of Intent To Request Redaction Form 36 Redaction Request Form 37 Request to Restrict Public Access to Claim Form 38 Request to Restrict Public Access to [specify document] Form 39 Motion For Loss Mitigation Form 40 Certification of LMP Eligibility and Readiness Form 41 Loss Mitigation Order Form 42 Motion to Extend the Loss Mitigation Period Form 43 Proposed Order Extending the Loss Mitigation Period Form 44 Motion to Terminate the Loss Mitigation Program Form 45 Proposed Order Terminating the Loss Mitigation Program Form 46 Order Substituting LMP Servicer Form 47 Interim Mortgage Modification Order Form 48 Loan Modification Summary