Forms Used In JDR

​​​​​​Format of Forms


These forms are available as PDF documents and require the free Adobe Acrobat reader. The Acrobat Viewer allows you to read, edit and print PDF documents. Only those forms that can be submitted to the court by a member of the public are available in revisable pdf. Therefore, not all forms listed are available in that format. Note: "Instructions" and "Samples" cannot be edited. However, they can be printed by using the print feature of your Internet browser.

​How to Fill Out Revisable PDF Forms

To fill out a form, open the form by clicking on it. All fields within the form that can be edited will be highlighted in grey. Click inside the first field you wish to edit. Some fields only allow one line within that particular field to be edited. Begin typing. Use your "Tab" key to navigate forward through the different fields. Use the "Shift" plus "Tab" keys together to go back. Print the form by using the "Print for Submission to Court" button at the top of the form (rather than by using the print feature of your internet browser). Deliver the printout to the appropriate court.

​​​Form Name​​Revisable Form Instructions
Affidavit -Default Judgment Service members Civil Relief Act Form DC-418 DC-418 Instr.
Affidavit (Uniform Child Custody Jurisdiction and Enforcement Act) Form DC-620 DC-620 Instr.
Affidavit In Support Of Application For Proceeding In Custody Or Visitation Case Without Payment Of Filing Fees Form DC-606 DC-606 Instr.
Certificate of Compliance for Reinstatement of Professional or Other License Form DC-672 DC-672 Instr.
Change of Address  Form
Child Support Guidelines Worksheet Form DC-637 DC-637 Instr.
Child Support Guidelines Worksheet - Shared Custody Form DC-640 DC-640 Instr.
Child Support Guidelines Worksheet - Split Custody Form DC-638 DC-638 Instr.
Consent For Adoption Form DC-680 DC-680 Instr.
Filing of Foreign Protective Order Form DC-684 DC-684 Instr.
Financial Statement - Eligibility Determination for Indigent Defense Services​Form DC-333 DC-333 Instr.
Information Considered in Child Custody / Visitation Proceedings Form DC-574 DC-574 Instr.
Juvenile Case Appeal / Transfer Transmittal​Form DC-575DC-575 Instr.
Motion and Notice and Judgment for Arrearages Form DC-625 DC-625 Instr.
Motion and Notice of Proposed Income Deduction Order for Support Form DC-617 DC-617 Instr.
Motion For Genetic Testing Form DC-623 DC-623 Instr.
Motion for Show Cause Summons Form DC-635 DC-635 Instr.
Motion to Amend or Review Order Form DC-630 DC-630 Instr.
Motion and Order for Expungement and Destruction of Juvenile Records Form DC-587 DC-587 Instr.
Notice of Expungement Rights Form DC-588 DC-588 Instr.
Non-Disclosure Addendum Form DC-621 DC-621 Instr.
Notice - Administrative Support Decision Appeal Form DC-601 DC-601 Instr.
Notice of Appeals Form DC-475 DC-475 Instr.
Notice of Revocation/Statement of Refusal - Standby Guardian Form DC-506 DC-506 Instr.
Performance Bond Form DC-660 DC-660 Instr.
Petition (ATTORNEY USE ONLY) Form DC-511 DC-511 Instr.
Petition and Order for Parental Participation Form DC-560 DC-560 Instr.
Petition For Court Approval Of Standby Guardian Form DC-503 DC-503 Instr.
Petition For Foster Care Review Hearing Form DC-554 DC-554 Instr.
Petition for Judicial Authorization of Abortion Form DC-502(A)  DC-502(A) Instr.
Petition For Permanency Planning Hearing Form DC-556 DC-556 Instr.
Petition For Protective Order - Family Abuse Form DC-611 DC-611 Instr.
Petition for Suspension of Professional or Other License Form DC-670 DC-670 Instr.
Petition for Support (Civil)  Form DC-610 DC-610 Instr.
Petition Requesting Authorization for Medical Treatment Form DC-550 DC-550 Instr.
Public Defender Timesheet  Form DC-52 DC-52 Instr.
Request for Appointment of a Lawyer​ ​Form DC-334 DC-334 Instr.
Request For Telephonic Hearing  Telephonic Hearing Request Form
Request For Confidentiality – Civil Form DC-618 DC-618 Instr.
​Request for Continuance (DCSE cases ONLY) Continuance Request Form
Request for Virginia Registration of Child Custody and/or Visitation Determination From Another State Form DC-582 DC-582 Instr.
Request for Virginia Registration of Non-Virginia Support Order Form DC-685 DC-685 Instr.
Respondent's Request for Income Deduction Order Form DC-615 DC-615 Instr.
Subpoena for Witness (Civil) ATTORNEY USED Form DC-497 DC-497 Instr.
Supplement to Petition for Expedited Enforcement Under Virginia Code § 20-146.29 of the Uniform Child Custody and Enforcement Act Form DC-584 DC-584 Instr.
Waiver of Jurisdiction Form DC-517 DC-517 Instr.
Waiver of Preliminary Hearing and Certification Form DC-521 DC-521 Instr.
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