Local Bankruptcy Forms and Orders
These Local Forms and Orders are designed to promote consistency and clarity for the participants in bankruptcy proceedings. They are recommended for use in the United States Bankruptcy Courts, Northern District Illinois. The use of these forms is encouraged with such alterations as may be appropriate to suit the circumstances.
The forms listed below are in Adobe Acrobat PDF format. A copy of Acrobat Reader 6.0 or higher is needed to view or print these documents.
To view a copy of a form below, click on the PDF button for the appropriate format.
Form Order # |
Miscellaneous |
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1 |
Order Combined With Notice of Status Hearing | ![]() |
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2 |
Notice of Hearing on Involuntary Petition in Bankruptcy | ![]() |
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3 |
Order for Relief | ![]() |
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4 |
Order Reopening Case | ![]() |
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5 |
Order of Dismissal | ![]() |
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6 |
Certification Concerning Emergency Motion | ![]() |
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7 |
Order of Referral for Settlement Conference | ![]() |
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Adversary Summons with Certificate of Service - B250B | ![]() |
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Appearance as Attorney | ![]() |
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Application for Writ of Assistance | ![]() |
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Cover Sheet for Application for Professional Compensation | ![]() |
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Declaration Regarding Electronic Filing (Internet Filings Only) | ![]() |
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Declaration Regarding Electronic Filing (Over the Counter Filings Only) | ![]() |
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Required Statement to Accompany All Motions for Relief From Stay (rev.8/18/09) |
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Unclaimed Funds
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Warning Regarding Credit Counseling Requirement | ![]() |
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Form Order # |
Scheduling Orders |
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8 |
Order Setting Scheduling Conference | ![]() |
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9 |
Scheduling Order | ![]() |
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10 |
Order Setting Preliminary Pretrial Conference | ![]() |
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Form Order # |
Trial Preparation |
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11 |
Order Establishing Procedures; Preparation for Trial, Confirmation Hearing, or Other Contested Matter, with attachments |
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12 |
Final Pretrial Order | ![]() |
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13 |
Final Pretrial Order [Short Form] | ![]() |
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Form Order # |
Attorney Fees |
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14 |
Order Combined With Notice of Hearing on Attorney's Fee | ![]() |
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15 |
Order for Refund of Attorney's Fee | ![]() |
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Form Order # |
Chapter 7 |
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Request for Hearing on Dismissal | ![]() |
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Trustee's Statement to Defer Adversary Filing Fee |
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Form Order # |
Chapter 11 |
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16 |
Order Setting Time to File Claims and Objections to Claims | ![]() |
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17 |
Order Setting Date to File a Plan and Disclosure Statement | ![]() |
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18 |
Order and Notice of Hearing on Adequacy of Disclosure Statement | ![]() |
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19 |
Order Combined with Notice of Confirmation | ![]() |
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20 |
Order Converting Case Under Chapter 11 to Case Under Chapter 7 | ![]() |
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Section 1126 Ballot Form | ![]() |
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Form Order # |
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21 |
Itemization of Services Rendered to Chapter 13 Debtor(s) | ![]() |
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22 |
Continuation Sheet B Itemization (two pages) | ![]() |
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23 |
Attorney's Application for Compensation for Representing Chapter 13 Debtor(s) (Use for cases filed on or after 5/1/07) |
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23 |
Attorney's Application for Compensation for Representing Chapter 13 Debtor(s) (Use for cases filed prior to 5/1/07) |
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23a |
Order Allowing Original Compensation for Representation of Chapter 13 Debtor (Use for cases filed prior to 10/17/05) |
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23b |
Order Allowing Original Compensation for Representation of Chapter 13 Debtor (For cases filed on or after 10/17/05) |
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23c |
Model retention agreement | |||||
24 |
Order Confirming Plan | ![]() |
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Chapter 13 Model Plan (non-calculating) rev. 01/2009 | ![]() |
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Chapter 13 Model Plan (calculating) rev. 01/2009 | ![]() |
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Debtor’s Declaration Regarding Domestic Support Obligations | ![]() |
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Chapter 13 Discharge Order | ![]() |
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Form Order # |
Dischargeability |
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25 |
Judgment Order Determining Debt Dischargeable | ![]() |
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26 |
Judgment Order Determining Debt Excepted From Discharge | ![]() |
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27 |
Judgment Order Sustaining Objection to Discharge | ![]() |
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28 |
Judgment Order Denying Objection to Discharge | ![]() |