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Forms

These forms are for use only in the 4th District Court (Hennepin County.) To use these forms in another location, you must change the County and District information on the forms and confirm that your court will accept them. Ask your local Court Administration about how to file the forms and other procedures specific to your court.

Also available are the statewide MN Court Forms on the MN Judicial Branch website.

Forms Categories

Civil	Housing Court
Conciliation Court	Judgments
Criminal	Juvenile
Family	Probate
General	Traffic

Civil

Affidavit in Support of Bench Warrant (pdf) 51kb
Affidavit in Support of Bench Warrant (Word) 26kb
Affidavit in Support of Order to Show Cause
Affidavit of Identification for Debtor (pdf) 10kb
Affidavit of Identification for Debtor (Word) 26kb
Affidavit of Non-Compliance-OTC (pdf) 22kb
Affidavit of Non-Compliance-OTC (Word) 30kb
Affidavit of Service by Publication-Rule 4.04(a)(1)(Word)
Affidavit of Service by Publication-Rule 4.04(a)(1)(PDF)
Affidavit of Service by Publication-Rule 4.04(a)(2,4,5)(Word)
Affidavit of Service by Publication-Rule 4.04(a)(2,4,5)(PDF)
Attorney Fees Request for Hearing (pdf) 17kb
Attorney Fees Request for Hearing (Word) 26kb
Condemnation Commissioner Application (Word) 89kb
Condemnation Commissioner Application (pdf) 89kb
Financial Disclosure - Instructions for Request & Order for Disclosure (pdf) 100kb
Financial Disclosure - Instructions for Request & Order for Disclosure (Word) 21kb
Financial Disclosure - Request for Order for Disclosure (state form #JGM302)
Financial Disclosure - Demand for Disclosure (For use by attorneys ONLY)
Financial Disclosure - Order for Disclosure (You must submit 1 Request and 3 copies of Order for Disclosure, no copies of Summary needed) (pdf) 96kb
Financial Disclosure - Order for Disclosure (You must submit 1 Request and 3 copies of Order for Disclosure, no copies of Summary needed) (Word) 36kb
Implied Consent Waiver of Hearing (pdf) 51kb
Implied Consent Waiver of Hearing (Word) 25kb
Informational Statement (pdf) 18kb
Informational Statement (Word) 29kb
Joint Statement of Case (pdf) 10kb
Joint Statement of Case (Word) 47kb
Minor Settlement Funds and Order Receipt (Word) 26kb
Minor Settlement Funds and Order Receipt (pdf) 53kb
Minor Name Change (Word) 89kb
Minor Name Change (pdf) 165kb
Name Change Forms-Adult only (pdf) 119kb
Name Change Forms-Adult only (Word) 85kb
Name Change Forms-Adult with children (pdf) 119kb
Name Change Forms-Adult with children (Word) 92kb
Order for Cash Bond on Appeal (pdf) 64kb
Order for Cash Bond on Appeal (Word) 26kb
Order to Show Cause (pdf) 21kb
Order to Show Cause (Word) 27kb
Record Request-Civil (pdf) 10kb
Record Request-Civil (Word) 26kb
Request for Driver's License Suspension Affidavit (pdf) 8kb
Request for Driver's License Suspension Affidavit (Word) 43kb
Satisfaction and Instructions (pdf) 9kb
Satisfaction and Instructions (Word) 23kb
Subpoena

Conciliation
Court

Affidavit of Identification for Debtor (pdf) 10kb
Affidavit of Identification for Debtor (Word) 26 kb
Affidavit of Unfound Creditor (Word)
Only use if required for Special Term Motion.
Additional Litigants Form (Word)
Claim Form (PDF) 78kb NEW! Fill out online and print.
Counter-claim Form (PDF) 95 kb NEW! Fill out online and print.
Power of Attorney (pdf) 7kb
Power of Attorney (Word) 28kb
Proposed Order Amending Title of Case (Word)
Only use if required for Special Term Motion.
Request for Driver's License Suspension Affidavit (pdf) 8kb
Request for Driver's License Suspension Affidavit (Word) 24kb
Special Term Motion (Word)
Satisfaction of Judgment (pdf) 10 kb
Satisfaction of Judgment (Word) 64kb

Criminal

Criminal Expungement Petition (4th Dist. packet) (pdf)
Criminal Expungement Petition (4th Dist. packet) (Word)
Record Request (pdf) 11.6kb
Record Request (Word) 35.5kb

Family

Affidavit in Support of Name Change (pdf) 7kb
Affidavit in Support of Name Change (Word) 47kb
Amended Judgment and Decree Instructions and Forms (pdf) 154kb
Amended Judgment and Decree Instructions and Forms (Word) 62kb
Forms Packet for Docketing Spousal Maintenance Jgmt (Word) 45kb
Forms Packet for Docketing Spousal Maintenance Jgmt (pdf) 118kb
Forms Packet for Docketing Child Support Jgmt (Word) 44kb
Forms Packet for Docketing Child Support Jgmt (pdf) 116kb
Initial Case Management Conference Data Sheet (pdf) 8kb
Initial Case Management Conference Data Sheet (Word) 25kb
Objection to All Referees (pdf) 40kb
Objection to All Referees (Word) 27kb
Record Request (pdf) 10kb
Record Request (Word) 32kb

General

Affidavit of Driver Non Owner of Vehicle (pdf) 7kb
App. and Request for Public Data (Word) 31kb
App. and Request for Public Data (pdf) 10kb
Certificate of Representation (Word) 28kb
Certificate of Representation (pdf) 7kb
Speakers Bureau Request Form (Word) 161kb
Speakers Bureau Request Form (pdf) 7kb

Housing Court

Affidavit of Non-Compliance wtih Settlement Agreement (pdf) 13kb
Affidavit of Non-Compliance with Settlement Agreement (Word) 36kb
Affidavit of Costs and Disbursements (pdf) 11kb
Affidavit of Costs and Disbursements (Word) 37kb
Eviction Action Complaint Form and Instructions (pdf) 13 kb
Eviction Action Complaint Form and Instructions (Word) 38kb
Eviction Action Answer Form (pdf) 19kb
Eviction Action Answer Form (Word) 50kb
Power of Authority (Word) 28kb

Pre-filing Housing Mediation Project Forms:

Affidavit of Non-Compliance Housing (pdf) 8 kb
Affidavit of Non-Compliance Housing (Word) 32kb
Power of Authority (pdf) 7 kb
Power of Authority (Word) 26kb
Prefiling Mediation Procedure (pdf) 10 kb
Prefiling Mediation Procedure (Word) 46kb
Request for Voluntary Mediation (pdf) 6 kb
Request for Voluntary Mediation (Word) 32kb

Juvenile

Affidavit for Adoption Access (Word)
Affidavit for Access to Juvenile Court Files (Word)

Judgments

Affidavit of Identification for Debtor (pdf) 10kb
Affidavit of Identification for Debtor (Word) 26kb
Affidavit of Increased Costs (pdf) 68kb
Affidavit of Increased Costs (Word) 28kb
Bankruptcy Discharge Application and Instructions (pdf)
Bankruptcy Discharge Application and Instructions (Word)
Foreign Judgment - Affidavit of Creditor (Word) 37kb
Foreign Judgment - Affidavit of Creditor (pdf) 11kb
Record Request (pdf) 10kb
Record Request (Word) 32kb
Satisfaction and Instructions (pdf) 9kb
Satisfaction and Instructions (Word) 23kb

Probate

Use statewide MN Probate Court Forms.

Traffic

Motion to Withdraw a Plea of Guilty to a citation - Mpls or St Anthony (pdf) 98kb
Motion to Withdraw a Plea of Guilty to a citation Mpls or St Anthony (Word) 70kb
Motion to Withdraw a Plea of Guilty to a citation - suburban division (pdf) 143kb
Motion to Withdraw a Plea of Guilty to a citation - suburban division (Word) 84kb
Minneapolis - Stop on Red Motion to Reopen (Word) 31kb
Minneapolis - Stop on Red Motion to Reopen (pdf) 21kb

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