Free Forms Available from AOC Print Shop (does not mean necessarily electronically available) - Kentucky

Revision 3-13-08 ________________________________________________________________________ ADMINISTRATIVE OFFICE OF THE COURTS 100 MILLCREEK PARK, BLDG. #5 FRANKFORT, KY 40601-9230 Court of Justice website: www.courts.ky.gov 1-800-928-2350 502-573-2350 FAX:502-573-1632

® means the form is restricted to Kentucky Court of Justice personnel only

OFFICE FORMS

FNC FN FS FERA FEWRA FEWRA9 FL T T-2 T-3 001-3 1 2 3A 3B 3C 4 5 5B 6 7 7.1 8 13 14 15 16 17 18

KCOJ Notecards with plain envelope AOC Notepads AOC Letterhead (AOC use only) AOC Envelope - #10 WW (AOC use only) AOC Envelope ­ Window #10 WW (AOC use only) AOC Envelope ­ Window #9 WW (AOC use only) AOC Mailing Label (for AOC use only) Travel Voucher Travel Voucher Continuation Out-of-State Travel (Electronic Version only) AOC Application (obtain form Personnel only) Personnel Action Request Request for Leave Request for Equipment, Furniture Request for Supplies Request for Service Monthly Trip Report Time & Attendance Report Monthly Time & Attendance Report/Clerks Forms & Printing Requisition Court Reporters Invoice/Explanation Court Reporters Invoice Explanation/Pauper Transcripts Register of Long Distance Calls AOC Print Shop Proof Card (Print Shop use only) Ct of Justice Direct Deposit Form Vehicle Log Sheet (for AOC Facilities only) Publication Request (for AOC Public Information only) Request for Review of Forms/Publications (AOC department use ­ smart form) Legal Approval for Printing/Distributing of Forms/Publications (AOC Legal only)

3-04 4-06 2-07 2-05 10-02 10-06 12-02 1-01 10-04 10-02 7-03 3-00 5-05 10-07 1-05 3-04 2-06 8-05 7-06 11-06

19 20 21 ED-1 ED-2 ED-3 ED-4 1001 1002 1003 1009 ®INT-1 ®INT-2 INT-3 INT-4 INT-5 INT-6 INT-7 BG-1 BG-2 BG-3 BG-4 Per-1.3 Per-1.4 Per-1.5

Inter-Departmental Request for Legal Services by the Office of General Counsel (AOC departmental use ­ smart form only) Subpoena (AOC Office of General Counsel only) Telephone Inquiry (AOC Office of General Counsel only) Office for Judicial Branch Education Request for Conference/Function (AOC Education only ­ smart form only) Office for Judicial Branch Education Education Specialist Conference Planning form (AOC Education only ­ smart form only) General Release Form (AOC Education only ­ smart form only) Office for Judicial Branch Education Video/Education Specialist (AOC Education only ­ smart form only) Job Ticket Transmittal (Print Shop use only) Office Supplies Order Form Office Supplies Order Form Continuation Direct Bill Authorization Statement for Interpreting Services PTS Interpreter Program Continuing Education PTS Court Program Acceptance of the Kentucky Certification Policy (smart form only) PTS Interpreter Program Certification Request Form for Criminal Background Check (smart form only) Interpreting Services Information Form (smart form only) PTS Interpreter Program. Acceptance of Interpreter Oath And Code of Professional Responsibility (smart form only) Release Form (smart form only) Request for Grant Application Approval (smart form only) Grant Application Agreement (smart form only) Grant Impact Statement Questionnaire (smart form only) Grant Impact Statement (smart form only) Appointment to Federally Funded Time-Limited Position (smart form only) Employment Record Check COJ Final Decision (pending)

9-06 5-07 12-06 12-06 12-06 2-07 9-02 1-01 10-01 12-07 10-06 12-06 12-06 12-06 12-06 12-06 1-07 1-07 1-07

12-06 9-07

Per-1.6 Per-1.7 Per-1.8 Per-1.9 Per-2.0 Per-2.1 Per-2.2 Per-2.3 Per-2.4

Senior Clerk Acknowledgment Senior Clerk Timesheet District Judge Assoc. Payroll Deduction Circuit Judge Assoc. Payroll Deduction Circuit Clerk Assoc. Payroll Deduction Request for Senior Clerk Senior Clerk Evaluation AOC Hiring Recommendation Form

12-07 12-07

2-08 2-08 2-08

JURY FORMS 005 005-A 006 ®010 012 013 013-A ®015 ®016 ®016-A 020 Juror Summons Juror Qualification Juror Notification Order Excusing/Postponing Jury Duty Jury Parking Juror Strike Sheet Juror Strike Sheet/8.5 x 14 Certificate of Service ­ Jury Certificate of Oath ­ Judges Certificate of Oath ­ Clerks Certificate of Appreciation 10-07 1-08 6-05 9-02 12-03 12-03 3-03 8-05 12-06 1-03 7-98

CIVIL & CRIMINAL ACTIONS 024 025 ®030 ®035 040 ®050 055 ®060 061 065 066 067 ®068 Order to Remain on Docket Subpoena Order Setting for Trial Hearing Warrant of Arrest (Bench Warrant) Waiver of Recording Notice/Order to Dismiss for Lack of Prosecution Court Calendar Cards Certification of Court Records Clerk's Certificate Certification Act of Congress Rpt. Of Adult/Child/DNA (pending) Change/Transfer to New Case # Form (pending) Order of Arrest (Civil Contempt) 2-07 5-03 6-03 1-08 8-02 1-05 1-07 5-04 11-06 12-04 6-07

APPEALS 070 ®076 ®080 085 KY Court of Appeals Civil Appeal Prehearing Statement Certification of Record on Appeal Notice of Death Sentence Review (Clerk) Report of Trial Judge When Death Penalty is Imposed 12-03 5-01 8-05 9-01

CIVIL ACTIONS 105 106 110 115 120 122 ®125 130 135 135.1 ®135.2 ®140 ®141S ®141SP 145 150 150.1 150.2 150.3 150.4 ®150.5 ®151 ®152 155 160 165 166 175 180 185 Civil Summons Writ of Attachment Appointment of Warning Order Atty Appointment of Guardian ad Litem Third Party Summons Notice of Transfer of Action Default Judgment Bill of Costs Execution Form & Order Affidavit to Challenge Execution Judgment (Exempt Property/Execution) Order for Sale (Venditioni Exponas) Order Referring Case to Master Commissioner for Judicial Sale Order Referring Case to Special Master Commissioner for Judicial Sale Affidavit for Writ of Non-Wage Garnishment Notice of Rights to Assert Exemption to Wage Garnishment Order of Garnishment (Non-Wage) Affidavit to Challenge Garnishment Garnishment Challenge Order Sheriff's Return for Wage Garnishment Affidavit & Supplemental Order of Wage Garnishment Wage/Benefit Withholding Order for Kentucky Employers (New Order/Amended Order) Uniform Child Support Order Supersedeas Bond Notice & Affidavit of Foreign Judgment Registration Notice of Registration of Foreign Child Custody Order (UCCJEA) Confirmation of Registration of Foreign Child Custody Order (UCCJEA) Small Claims Complaint Small Claims Summons Small Claims Counter-Claim 1-07 11-99 2-07 1-03 2-05 4-00 10-07 2-05 1-05 8-03 3-01 12-04 1-06 6-07 4-03 9-03 5-04 3-06 9-03 5-06 2-05 7-00 3-03 6-03 2-03 7-04 7-04 3-06 12-01 2-03

®190 197 ®198 ®199 ®200 ®201 ®205 ®206 ®207 215 216 217 ®220 ®224 240 ®245 250 260 ®261.1 ®261.2 262 270 ®275 275.1 ®275.2 ®275.3 ®275.4 ®275.5 ®275.6 ®275.7 ®275.8 ®275.9 ®275.10 ®275.11 275.12 280 290 ®290.1

Small Claims Judgment Small Claims Post Judgment Interrogatories Small Claims Post-Judgment/Motion/Order Requiring Losing Party To Answer Interrogatories Small Claims Settlement Agreement & Order Paternity Judgment Petition/Order for Permission to Marry Order Appointing Public Defender w/Partial Fee Determination Order for Partial Fee Order for Recovery of Necessary Expense in Defense of Indigent Eviction Notice: Notice of Eviction Hearing Trial by Court Forcible Detainer Complaint Judgment In Favor of Plaintiff (forcible detainer) Eviction Notice: Warrant for Possession Order Recalling Bench Warrant Notice of Filing (Domestic Relations Commissioner's Report/ Master Commissioner's Report Dissolution of Marriage Findings of Fact/Conclusions of Law Certificate of Dissolution of Marriage Abortion Petition Order Granting Abortion Order Denying Abortion Notice of Appeal on Denial of Self-Consent Abortion Petition by a Minor Writ of Habeas Corpus Circuit Court Domestic Violence Summons Domestic Violence Petition/Motion Emergency Order of Protection & Summons Order of Protection (DVO/Amended DV Order) Domestic Violence Forthwith Order of Arrest Domestic Violence Show Cause Order Motion to Amend Prior Domestic Violence Order Warrant of Arrest-Domestic Violence Bench Warrant Temporary Order of Protection Foreign Protective Affidavit & Order Order of Protection Foreign Protective Affidavit & Order Amended Order of Protection & Affidavit for Certified Foreign Protective Order Amended Temporary Order for Protection & Affidavit for Uncertified Foreign Protective Order Ten Day Notice to Affiant RE: Status of Temporary Foreign Protective Order Notice of Submission of Case for Final Adjudication Petition to Inspect Adoption Records Order Granting Request to Inspect or Requiring Cabinet

10-07 2-08 3-01 2-03 11-98 8-01 12-03 9-02 8-02 1-03 9-02 3-04 6-06 1-05 3-03 3-03 6-97 8-97 8-97 11-05 3-05 10-02 2-03 9-07 12-07 4-02 3-02 5-03 3-03 12-01 12-01 12-01 12-01 3-05 7-02 1-03

®290.2 ®291 292 295 ®296 297 298 300

Families & Children to Notify Biological Parents Order Granting or Denying Request to Inspect Adoption Records Order for Fees in Termination of Parental Rights Case Appearance Waiver & Consent to Adopt Petition for Name Change Name Change Order Petition for Student Driving Priviledge/Reinstatment Student Driver's License Order Satisfaction of Judgment

1-03 1-03 7-98 5-06 12-06 4-04 7-07 7-07

CRIMINAL ACTIONS ®315 ®315.1 ®315.2 315.3 320 325 330 335 ®340 ®341 341.1 ®342 343 343.1 343.2 343.3 343.4 ®345 ®346 347 350 360 365 ®366 375 ®380 385 ®390 405 410 415 Criminal Complaint & (Arrest Warrant or Summons) Criminal Complaint Warrant of Arrest (Complaint) Post-Arrest Complaint Indictment Warrant of Arrest on Indictment Criminal Summons Affidavit for Search Warrant Search Warrant PreTrial Suspension for License Order Diversion Agreement Confiscation Order for (Operators License or License Plate(s)) Certificate of Performance of Community Labor Order for Community Service Order for Community Service (in lieu of cost) Order for Completion (community service) Order for Jail Time (in lieu of fine/cost) Order Granting Pretrial Diversion of Class D Felony (Also file AOC-491 or AOC-491.2) Order Voiding Pretrial Diversion of a Class D Felony Motion for Pretrial Diversion of a Class D Felony Finan. Statement, Affid. of Indigence, Request Counsel/Odr Sworn Schedule for Bail Bond Secured By Real Estate Pretrial Bail Bond Property Bond Lien Release Notification Peace Bond Order of Temporary Detention Release from Custody Order for Appearance of Prisoner Arraignment Order (Guilty Plea) Entry of Guilty Plea (For minor cases in District Court) Arraignment Order (Not Guilty Plea) 1-08 2-03 5-04 3-93 1-08 1-08 6-03 2-03 2-03 7-03 2-03 1-05 4-03 2-08

12-06 11-05 9-02 3-04 1-07 3-07 6-05 5-06 1-03 5-04 1-05 8-07 1-08 1-05

420 425 430 440 ®445 ®446 447 450 454 ®455 ®460 ®461 ®465 ®465.1 ®465.2 ®465.3 ®465.4 ®470 475 480 485 490 491 491.1 491.2 492 492.A ®493 494 495 ®495.2 ®495.3 495.4 ®495.5 495.6 ®495.7 ®496 496.1 496.2

Recognizance of Witness Commitment Confiscation of Contraband Evidence Waiver of Jury Trial Judgment & Sentence on Plea of Guilty Restraining Order (Following Stalking Conviction) (CJ/.legal pending) Judgment & Sentence on Plea of Not Guilty (Jury Trial) Judgment of Registration Designation Order of Probation/Conditional Discharge Order on Motion for Shock Probation Agreed Order for Home Incarceration Order to Show Cause for Nonpayment of Fine Fine & Cost List/Order to Show Cause for Non-Payment Order Def Install Pay Ct Costs & Fines w/Show Cause Odr Order Waiving Ct Costs Due to Finding of Indigence Order to Appear Order Upon Nonpayment of Fine Waiver of Extradition Entry of Appearance & Plea of Guilty (Performance Bond) Complaining Witness Appearance Bond Acknowledgment of Scheduled Court Appearance Motion to Enter Guilty Plea Commonwealth's Offer on a Plea of Guilty Motion to Enter Guilty Plea N. C. v Alford Application for Hardship Driver's License Affidavit for Hardship Driver's License Hardship Driver's License Order Notice to Attend Alcohol Driver Education Program DUI ­ Guilty Plea Order Requiring Impoundment of License Plate/s Application & Order for Hardship Vehicle Registration Application to Install Ignition Interlock Device (IID) In Lieu of Plate Impoundment Order to Install Ignition Interlock Device (IID) In Lieu of Plate Impoundment . Motion to Install Ignition Interlock Device (IID) (to Reduce License Revocation or In Lieu of License Revocation) Order Granting Permission to Install Ignition Interlock Device (IID) (to Reduce License Revocation or in Lieu of License Revocation) Expungement Order (For Misdemeanor or Violation Conviction) Notification of Expungement For Misdemeanor or Violation Conviction Petition/Motion for Expungement

4-04 4-07 7-03 8-05 6-05 9-02 10-02 9-06 12-06 12-06 1-08 1-05 5-06 5-06 11-02 6-07 1-03 3-04 4-99 8-05 12-03 8-07 9-03 1-03 9-02 1-08 4-03 10-04 2-03 5-03 1-03 1-03 1-03 7-02 7-02 7-07 6-06 10-07

®497 497.2 ®498 499 ®499.1 ®499.2

Expungement Order & Certification Form (For Acquittal or Dismissal with Prejudice) For Acquittal or Dismissal with Prejudice Petition/Motion for Expungement Order for HIV, Hepatitis B and C, and Other Testing Notice of Court Mandate for HIV Test Order for Human Immunodeficiency Virus (HIV) Testing Order for HIV, Hepatitis B & C, and Other Testing

7-07 10-7 4-01 4-07 8-03 4-02

ACCOUNTING FORMS 500 502 503 504 505.1 505.2 505.3 505.4 505.5 505.6 505.7 506 520 560 561 580 581 ®582 582.1 584 585 586 589 590 591 592 593 594 599 1004 Cash Receipt-Manual Cash Receipt Batch Control Daily Cash Settlement Sheet Cash Receipts Journal Payable Ledger Card (red) Payable Ledger Card (blue) Payable Ledger Card (black) Payable Ledger Card (green) Payable Ledger Card (orange) Payable Ledger Card (brown) Payable Ledger Card (plain) Pass Through Ledger Card County Disbursement Journal Adjusting Entry Report to CHR for 4D Alimony & Support Payments Bank Reconciliation Outstanding Check List Order for Jury & Witness Reimbursement Jury & Witness Reimbursement Schedule Report for Department of Fish & Wildlife Jury Fund Report Summary Financial Report Witness Fund Report Fine & Cost List Payment Log Payment Log (continuation sheet) Transfer of Cash Receipt Forms Daily Certification of Bond Items to Circuit Clerk Daily Batch Control Envelope Fees Template 7-04 7-04 7-00 7-04 10-05 6-07 10-03 10-03 10-03 10-03 11-06 7-00 8-02 8-02 8-04 9-05 5-05 4-05 3-03 5-03 8-04 8-04 8-04 2-06 6-07 6-07 4-97 6-03 9-97 7-04

HOSPITAL/DISABILITY

700A ®701A ®702A ®703A ®704A ®704B ®705A 706 710 ®711 ®712 ®713 ®715 ®720 ®724 ®725 ®726 ®730 735 ®736 740 745 747 ®748 ®750 ®755 ®760 765 ®770 ®775 777 ®780 ®785 790 795

Verified Petition for Involuntary Treatment (Alcohol/Drug Abuse) Hearing, Exam & Appt of Counsel Notice & Order (Involuntary Treat-Alcohol/Drug Abuse) Summons Involuntary Treatment (Alcohol/Drug Abuse) Certification of Qualified Health Professional Invol Treatment (Alcohol/Drug Abuse) Judgment & Order for Involuntary Treatment (Alcohol/Drug Abuse) Order 72 Hour Hospitalization (Alcohol/Drug Abuse) Sheriff Transport & Examination (Inventory Treatment ­ Alcohol/Drug Abuse) Hospitalization/Disability Summons Verified Petition for Involuntary Hospitalization/Admission Examination & Transport Order (72 Hour Evaluation) Certification of QMHP for 72 Hour Hospitalization Order Granting/Denying for 72 Hour Hospitalization Order of Counsel & Setting Preliminary Hearing Examination Odr. & Exam. Certif. For Involuntary Hosp/Adm. Community Based Outpatient Treatment Agreed Order Findings of Probable Cause Order Setting Final Hearing Judgment & Order for 60 or 360 Days Invol. Hospitalization Petition to Set Hearing to Determine Invol. Participation in Treatment of Person Order to Set Hearing to Determine Involuntary Participation in Treatment of Person Petition to Determine if Disabled Application for Appointment of Fiduciary for Disabled Persons Petition/Application for Emergency Appointment of Fiduciary Order for Emergency Appointment of Fiduciary Order for Examination Order Appointing Counsel Order Awarding Fees Report of Interdisciplinary Evaluation Team Order of Appointment of Conservator Order of Appointment of Guardian Verified Petition for the Voluntary Appointment of Guardian or Conservator, etc. Order Setting for Hearing Disability Judgment Annual Report of Guardian Petition for Relief, Modification or Termination

10-06 10-06 10-06 10-06 10-06 10-06 10-06 8-05 1-03 12-03 7-02 3-06 3-05 10-02 4-02 10-02 12-03 7-03 7-02 11-05 5-04 3-03 7-03 4-05 4-04 1-05 1-05 8-07 4-01 3-07 8-03 3-05 3-07 12-03 8-99

796

Standard Power of Attorney for Medical/School Decision Making

2-08

PROBATE MATTERS 805 ®806 807 820 825 830 ®840 841 ®845 846 ®850 851 852 853 ®854 855 856 857 858 859 Petition Order Probating Will & Appointing Executor/Executrix Certificate of Qualification Petition for Appointment of Trustee Under Will Fiduciary Bond Petition/Order to Dispense with Administration (Surviving Spouse, Children/Preferred Creditor) Order Appointing Fiduciary Inventory & Appraisement of Estate Notice of Failure to File Inventory/Settlement/Report Settlement of Estate Informal Final Settlement: Affidavit, Motion & Order Affidavit of Waiver of Formal Settlement Petition for Appointment as Guardian/Conservator for Minor Application for Appointment as Guardian/Conservator for Minor Order of Appointment of Guardian/Conservator for Minor 60 Day Inventory or Supplemental Inventory Periodic/Final Settlement of Guardian/Conservator for Minor and/or Disabled Person Application for and Declaration of Death due to a Catastrophic Event Petition by Crematory to Authorize Cremation of Decedent Petition to Prevent Cremation of Decedent 10-05 12-03 12-98 12-03 8-03 9-06 12-03 5-04 2-04 3-00 1-05 1-05 12-03 5-04 8-02 12-03 4-02 7-02 12-03 12-03

CLERK'S RECORD KEEPING FUNCTIONS 905 905.1 906.1 950 955 Civil Docket Civil Docket (continuation sheet) Civil Docket (1st page only) Calendar Recording Log 10-90 7-87 3-88 11-87 9-02

JUVENILE FORMS JV-1 JV-1.1 JW-2 JW-3 Juvenile Complaint/Petition (Status/Public Offender) Notification of Charge Juvenile Petition Notice of Right to Special Review Waiver of Special Review Public Offense 12-07 6-04 3-93 3-93

JW-4 JW-6 JW-7 JW-9 JW-10 JW-11 JW-12 JW-13 ®JV-14 ®JV-15 ®JV-16 JV-17 JV-18 JV-19 JV-23 ®JV-24 ®JV-25 ®JV-26 ®JV-27 ®JV-28 ®JV-29 JV-30 JV-31 ®JV-32 ®JV-34 ®JV-35 JV-36 JW-39 JW-40 JW-42 JW-42A JV-48 JW-50 JW-51 JW-52 JW-53 JW-54 JW-55 JW-56 YFCS-1

Preliminary Inquiry Notice Status Offense Notice Regarding a Conference for a Public or Status Offense Complaint Preliminary Inquiry Notice Public Offense Diversion Agreement Release of Information Unsuccessful Diversion Conference Public Offense Recommendation to County Attorney Juvenile Tracking Card Mental Health Transportation Order Temporary Custody Order (Status Offenses) Order for Medical Examination or Treatment of Juvenile Juvenile Summons Promise to Appear in Juvenile Proceeding Juvenile Summons for Witness Verified Petition for Involuntary Hospitalization Order Granting Emergency Hospitalization & Evaluation (Juvenile Mental Health) Order Denying Petition for Emergency Hospitalization Judgment & Order for 60 Days or 180 Days Hospitalization Order Denying Petition for Involuntary Hospitalization (or Recertification) Youthful Offender Transfer Hearing Order Order for Expungement of Juvenile Record Petition for Expungement of Juvenile Record Juvenile Status or Delinquency Disposition Order to Take Juvenile into Custody Juvenile Detention Order for Public Offense Juvenile Detention Order for Status Offense Juvenile Status Offender Order Pre-Adjudicative Detention Criteria Preliminary Inquiry Formal/Informal Processing Criteria & Recommendations Preliminary Inquiry Interview Summary Diversion Screening Tool Order Appointing Public Defender CDW Letterhead (field offices) CDW Business Card (blank) CDW Envelope (field offices) CDW Envelopes ­ Window (field offices) Forms Requisition CDW Record Destruction Form (for AOC use only) Truancy Diversion Program Pre-Compliant Tracking Card Confidential Report of Suspected Child & Adult Abuse/ Neglect/Dependency or Exploitation

10-04 10-04 5-04 7-06 7-06 10-04 3-93 9-03 8-07 1-08 11-04 3-03 8-07 10-02 11-07 3-03 4-03 1-08 1-08 7-99 11-04 10-07 7-04 9-02 12-03 11-07 12-03 10-07 10-07 3-06 12-07 1-08

8-95 3-06 6-06 4-01

CDW-5 CDW-9 ®AOC-656 DNA-1 ®DNA-2 ®DNA-2.1 ®DNA-2.2 ®DNA-3 ®DNA-4 ®DNA-5 ®DNA-6 ®DNA-7 ®DNA-9 ®DNA-10 ®DNA-11

CDW Insurance Option Form Certificate of Performance of Voluntary Community Service Order of Discharge from CFC/DJJ Commitment Juvenile Dependency, Neglect, & Abuse Petition Emergency Custody Order Emergency Custody Order Affidavit Notice of Emergency Removal Order Temporary Removal Hearing Order Adjudication Hearing Order Disposition Hearing Order Permanency Hearing Juvenile Summons (DNA Proceeding) Order Permanent Custody Order Appointing Guardian ad Litem Fin Statement Affid of Indigence, Request for Counsel And Order (DNA/TPR Cases)

4-01 4-01 3-04 9-02 6-03 9-02 9-05 9-02 9-02 6-03 6-05 9-02 9-02 9-02 5-05

CITIZEN FOSTER CARE REVIEW BOARD FORMS CFCRB-2A CFCRB-2B CFCRB-3 CFCRB-5 Finding & Recommendations (for AOC use only) CBS Response to CFCRB Questions (for AOC use only) Gold Card (for AOC use only) CFCRB Finding of (for AOC use only)

PRETRIAL FORMS PT-1 PT-2 PT-3 PT-4 PT-6 PT-7 PT-9 PT-11 PT-21 PT-23 PT-26 PT-29 PT-30 PT Letterhead (field offices) PT Envelope (field offices) AOC Courtnet Disposition System Disclaimer (AOC use only) AOC PT Envelope (AOC use only) Forms Requisition Multiple Inquiry Form AOC Courtnet Disposition System Disclaimer Monthly Statistical Report Interview Form Prior Criminal Record Court Report Notice of Court Date Interview Card

7-03 8-03 2-02 11-05 11-02 4-04 8-03 8-03 10-04 4-98

PT-35 PT-36 PT-39 PT-49 ®PT-50 PT-51 PT-52 PT-53 PT-54 PT-55 PT-56 PT-57 PT-58 PT-59 PT-60 PT-61 PT-62 PT-63 PT-64 PT-95 PT-96

Bond Decision Waiver (release form interview) Alcohol Intoxication Tracking Form Inquiry Into Court Disposition System Court of Justice Incident Report Drive In/Walk In Request ­ PT Records (AOC use only) Licensing Agency Request (website only) Emergency Services Request (website only) Youth Leader Multiple Inquiry (website only) Youth Leader Request (website only) PTS Records Letterhead (AOC use only) PTS Envelope #10 WW Window (AOC use only) PTS Envelope #9 WW Address AOC in center (AOC use only) Release Recommendation (website only) Mointored Conditional Release (website only) Affidavit to Court of Violation of Conditional Release (website only) Interview Detailed Report Diversion Program Permission to Interview AOC Courtnet Licensing Disclaimer PT Insurance Diversion Program

10-04 5-03 9-90 12-03 3-06 6-03 8-03 8-03 8-03 8-03

4-06 5-05 4-06 7-06 5-06 6-06 7-07

SPECIAL JUDGE'S FORMS CIRCUIT SJ-1 ®SJ-2 ®SJ-3 SJ-4 DISTRICT SJ-5 ®SJ-6 ®SJ-7 SJ-8 SENIOR SJ-10 RETIRED SJ-20 Need for Special Judge Order Certifying Need for Special Judge Order Assigning Special Judge Assignment of Special Judge Need for Special Judge Order Certifying Need for Special Judge Order Assigning Special Judge Assignment of Special Judge Reporting Form for Senior Judges Retired Judge voucher for Service as Special Judge 4-05 4-06 7-96 1-05 9-06 11-01 5-89 7-96 1-08 9-02

FAMILY COURT FORMS ®FC-1 FC-2 FC-3 FC-4 FC-5 FC-6 FC-7 FC-8 FC-9 FC-10 FC-11 FIT-1 FIT-6 FIT-7 FIT-9 FIT-10 PE-1 PE-2 PE-3 PE-4 Counseling Compliance Show Cause Order Release of Information Family Court Case-Data Information Sheet Family Court Volunteer Application Court Date Card Court Date Reminder Post Card Family Court Brochure Certificate of Completion Order for Counseling KY Family Court Sites Map (For Family Court only) Divorce Education Program Families in Transition Certificate Families in Transition pre-questionnaire Families in Transition post-questionnaire Families in Transition site evaluation Families in Transition Court Notification of Completion (2-part certificate) Parents' Education brochure Parents' Education Workbook Certificate of Attendance (Divorce Education Program for Parents) Certificate of Attendance (Divorce Education Program for Children) 3-01 10-02 7-05 10-99 11-99 3-00 2-04 7-00 1-02 3-07 3-07 10-06 5-05 4-05 4-05 3-07 10-07 10-07 1-06 1-06

MED-ADR-1 Continuing Mediator Education (CME) Reporting Form (smart form only) MED-ADR-2 Request For Mediation (smart form only) MED-ADR-3 Mediation Letterhead (field offices) MED-ADR-4 Mediation Envelopes #10 (field offices) MED-ADR-5 Mediation Envelopes #10 window (field offices) MED-ADR-6 DCMP Mediation Evaluation Form Cards MED-ADR-7 Application to be Placed on the Mediator Roster MED-ADR-8 Agreement to Mediate (smart form only) MED-ADR-9 Mediation Agreement (smart form only) MED-ADR-10 Mediation Referral (smart form only) MED-ADR-11 Mediation Report to Court (smart form only) MED-ADR-12 Child Protection Mediation Agreement (smart form only)

10-07 8-05 2-06 2-06 2-06 4-06 5-06 9-07 9-07 2-07 2-07 2-07

DRUG COURT DC-1 DC-2 ®DC-5 DC-6 DC-7 ®DC-8 DC-9 DC-10 DC-11 DC-12 DC-13 DC-14 DC-15 DC-16 DC-17 DC-18 DC-19 DC-21 DC-23 DC-32 DC-33 DC-34 DC-35 DC-36 DC-38 DC-39 DC-40 DC-41 DC-42 DC-43 DC-44 DC-45 DC-46 DC-47 DC-48 DC-49 DC-50 DC-51 DC-52 DC-53 DC-54 Drug Court Agreement of Participation Drug Court Referral for Drug Testing Order Referring to Drug Court Referral to Drug Court Probation Track Drug Court Notice of Eligibility Order Transferring to Drug Court Individualized Program Plan-Phase I Individualized Program Plan-Phase II Individualized Program Plan-Phase III Authorization for Release of, or Request for, Information Drug Court Phase I Calendar Drug Court Phase II Calendar Drug Court Phase III Calendar Self Help Meeting Attendance Verification Drug Court Case Notes Monthly Statistical Report Return to Court Slips (reminder notice) Request for Criminal History Affidavit of Violations Drug Court Exit Calendar Drug Court Procedures Manual Drug Court Handbook Drug Court Letterhead (field offices) Drug Court Envelope (field offices) "Drug Court Works" ­ Book of Inspirations Volumne 2 Statement of Urinalysis Acknowledgment Consent to Search Form Certificate of Achievement (printed at field offices) Drug Court Participant Survey Participant Contact Record Affidavit of Administrative Discharge DC Confidentiality Agreement (for non-team members) DC Confidentiality Agreement (for team members) Community Service Verification DC Memo (Accepting/Not Accepting a Transfer Case) DC Memo (Information Regarding Previously Transferred Case) Acknowledgment of Successful Completion of Drug Court DC Memo (Requesting Acceptance of a Transfer) Notice of Voluntary Termination from Drug Court (probation) Notice of Administrative Discharge from Drug Court (diversion) Notice of Administrative Discharge from Drug Court (probation) 2-08 10-03 2-07 3-06 1-07 10-06 10-03 10-03 10-03 10-06 3-06 3-06 3-06 10-03 1-05 5-07 4-07 4-07 6-07 10-03 12-06 10-06

9-06 3-06 1-08 10-03 11-04 2-05 2-07 4-07 4-07 3-06 4-07 4-07 3-06 4-07 6-06 6-06 6-06

DC-55 DC-56 DC-57 DC-58 DC-59 DC-60 DC-61 DC-62 DC-63

Order of Transfer Between Drug Courts for Drug Court Proceedings Only Petition for Voluntary Termination from Drug Court DC Memo (Transfer Participant Meeting Verification) Notice of Voluntary Termination from Drug Court Order to Testify Participant Acknowledgment DC Graduation Certificate KY DC Urine Drug Screening Agreement of Participation KY DC Recognizes & Congratulates

7-06 3-06 4-07 6-06 2-07 2-07 6-07 2-08 2-08

PUBLICATIONS P-1 P-2 P-3 P-4 P-5 P-6 P-7 P-8 P-9 P-10 P-11 P-12 P-13 P-14 P-15 P-16 P-17 P-18 P-19 P-20 P-21 P-22 P-23 P-24 P-25 P-26 P-27 P-28 P-29 Justice In Our Commonwealth: A Citizen's Guide to Kentucky's Courts Your Key to KY Courts Runaways in the Commonwealth Drug Court brochure ­ A Chance..... A Change The Family Circus Visits the Courts Small Claims Court: General Info & Post-Judgment Collections You, The Jury: KY Juror Handbook Mediation . . . Weighing the Alternatives Domestic Violence . . . Putting the Pieces Back Together KY Pretrial Services . . . Releasing the Possibilities A Pretrial Cooperative: Making Your Education Work for You (obsolete) Judicial Conduct Commission: Preserving the Integrity of The Judiciary Circuit Clerks' brochure (out of print) Links ­ Fayette County Drug Court (out of print) Statewide Criminal History Background Checks Pretrial Diversion Programs KCOJ Office of Minority Affairs Guardian ad Litem Program Court of Justice Employee Mediation Program CDW Program ­ Making A Difference Law Related Education Programs Under 18: Under the Law KY Mock Trial Tournament brochure Welcome to Jury Duty in Jefferson County, Kentucky Furniture Standards Catalog, AOC Version (AOC use only) Furniture Standards Catalog, Statewide Version (AOC use only) Reporters' Guide to Kentucky Courts Kentucky Drug Court: Saving Costs, Saving Lives KY Court of Justice Grant Policy 5-00 9-02 5-97 10-02 4-01 2-03 9-05 10-02 1-03 9-07 7-00 12-06. 4-01 5-06 8-03 9-06 4-03 8-04 11-06 11-06 8-03 8-06 2-08 1-04 1-04 8-05 11-07 3-04

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Teen Court Promotional brochure Mediation Handbook for Judges (for AOC use only) KY Citizen Foster Care Review Bd. Volunteer Training Manual (for AOC use only) KY Citizen Foster Care Review Boards brochure KY Virtual Law Clerk Program (for AOC use only) State Law Library of Kentucky brochure KY Regional Conference on Child Protection Law (for AOC use only) Mediation Relations 101 for Kentucky Circuit Court Clerk (for AOC use only) Bobby & The Court Designated Worker (for AOC use only) Permanency Mediation ­ A Guide for Parents Families In Transition brochure Kentucky Citizen Foster Care Review Board Handbook (for AOC use only) Media Relations 101 for Kentucky Family Court Judges (for AOC use only) Families In Transition Parents' Workbook Families In Transition Adolescents' Workbook Families In Transition Children's Workbook Families In Transition Facilitator's Manual (for AOC Family Court use only) Personnel Policies for KY Court of Justice (for AOC use only) Recommendations of the KY Task Force on Court Security (for AOC use only) May: National Drug Court Month (for AOC use only) KY Teen Court Coordinators Manual KY Court of Appeals Basic Practice Handbook (for AOC use only) KCOJ 2006-2012 Capital Plan KY Teen Court Student Training Manual KCOJ: Rules of Administrative Procedure Part X: Real Property Management Section 1. Construction Program Development (AOC use only) KCOJ: Rules of Administrative Procedure Part X: Real Property Management Section II. Court Facilities Criteria (AOC use only) KCOJ: Rules of Administrative Procedure Part X: Real Property Management Section III. Court Facilities Design and Construction

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(AOC use only) Assault in the 4th Degree Writing in Diversion (pending) Art in Diversion Theatre in Diversion Multicultural in Diversion (pending) Diversion Materials (A Catalog of Available Programs and Resources) Senior Status Program for Special Judges Theft by Unlawful Taking Workbook Diversity, Prejudice & Respect Workbook KCOJ Records Retention Schedule KCOJ Records Retention Schedule Part 1: Pre-1978 Records Kentucky CFCRB Annual Report Guiding KY Courts Operational & Training Guide for Bailiffs & Court Security Officials KCOJ Truancy Diversion manual KY Adoption Day Manual (web only) 2006 Judicial Campaign Ethics Handbook KY Court of Appeals Furniture Standards catalog Emergency Action Plan booklet Divorce Mediation brochure KCOJ Truancy Diversion Program brochure Responsibilities of GAL Court Mediation brochure Pretrial Risk Assessment Booklet A Best Practice Model for DNA Cases Probate Guide for Pro se Litigants (pending) Juvenile Drug Court brochure The KY Sheriff's Guide to Court Security Family Drug Court AOC Policy Manual Truancy Workbook CDW Training Manual KY COJ Recruitment brochure

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