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Superior Court - Forms
Civil Equity
Form Number
Name of Form
Description
Associated Forms
NHJB-2695-S
(09/23/2010)
Medical Malpractice Scheduling Conference Order This form is completed by either counsel or the judge, and issued as an order following the scheduling conference for the medical malpractice screening panel proceeding.  
NHJB-2698-S
(09/23/2010)
Medical Malpractice Witness List This form is completed by counsel and sent to each panel member and to the Superior Court Center within 10 days after the deadline established for the defendant to disclose experts.  
NHJB-2364-DPS
(03/25/2013)
Motion for Periodic Payments To commence post-judgment collection proceedings when a defendant in a civil matter has failed to pay the court ordered judgment.  
NHJB-2311-S
(07/11/2011)
Motion for Waiver of Court Fees Form is completed by party requesting that filing fees be waived.  
NHJB-2784-S
(06/12/2012)
Petition for ....... Generic form completed by a person petitioning the court for relief in a civil case.  
NHJB-2181-DPS
(07/01/2011)
Petiton for Ex Parte Attachment Form is used by plaintiff or petitioner to request an attachment against the other party without prior notice to that party. Instructions
NHJB-2383-S
(01/01/2012)
Petition for Waiver of Parental Notification for Abortion Requested by a Minor Form used by underage petitioner to request permission for abortion without parental notification.

Form Instructions
Email Instructions

NHJB-2316-DPS
(10/25/2010)
Petition to Attach with Notice Form is used by plaintiff to request from the court an attachment against the other party. Instructions
NHJB-2384-S
(03/27/2013)
Structuring Conference Order This form is completed by counsel and presented to the Judge for approval. Used in civil cases at a structuring conference.  
NHJB-2406-DPS
(07/01/2011)
Taxation of Costs This form will be completed by one of the parties following a judgment.  It is approved by the Clerk of Court  
NHJB-2593-DPS
(03/25/2013)
Trustee Disclosure Parties may use this form when they have received the writ of attachment and trustee process for service from the court. Instructions

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Criminal
Form Number
Name of Form
Description
Associated Forms
NHJB-2093-DS
(01/10/2013)
Acknowledgment of Rights - Class A Misd Form is completed by defendant who is waiving rights in class A misdemeanor case  
NHJB-2334-DS
(10/31/2006)
Acknowledgment & Waiver of Rights - Felony Form is completed by defendant and counsel when a plea is taken in a felony case.  
NHJB-2405-DS
(03/27/2007)
Acknowledgment & Waiver of Rights - Violation of Probation The form is completed by the defendant and counsel when pleading true to a Violation of Probation after having been sentenced to a period of probation following a felony conviction  
NHJB-2335-S
(01/01/2013)
Bond in Criminal Case Form is completed by clerk or bail commissioner and sets out bail amount and conditions when defendant is released on bail.  
NHJB-2309-S
(10/31/2006)
Entry of Not Guilty Plea & Waiver of Arraignment Form is completed by defendant and/or attorney and filed with the court. Form indicates the defendant is pleading not guilty and is waiving arraignment.  
NHJB-2313-DFSSup
(11/01/2011)
Financial Affidavit for Court Appointed Counsel Form is used in criminal or juvenile cases when defendant is requesting a court appointed attorney. Checklist
NHJB-2618-DS
(03/25/2013)
Notice of Intent to Seek Class A Misdemeanor Penalties Effective Oct, 2009, certain misdemeanor offenses are presumed to be class B misdemeanors. The State may file to defeat the presumption.  
NHJB-2715-S
(03/25/2013)
Notice of Intent to Plead Guilty Form is completed by defendant to inform the Court that s/he intends to plea guilty to specific charges.  
NHJB-2317-DS
(07/01/2011)
Petition to Annul Record Petition is completed by defendant who is requesting that a criminal record be annulled. Checklist
NHJB-2720-S
(07/19/2012)
Request for Arrest Warrant Form is completed by a party when a request is made that the Court issue an arrest warrant for another party.  
NHJB-2339-S
(10/31/2006)
State's Application for Sentence Review Form is completed by the county attorney or attorney general when they are requesting a sentence review hearing.  
NHJB-2044-S
(03/27/2007)
Superior Waiver of Counsel Submitted by a defendant who is waiving the right to an attorney in a criminal case  
NHJB-2310-S
(10/31/2006)
Waiver of Extradition Form is used by defendant in a criminal case to waive extradition.  
NHJB-2315-S
(10/31/2006)
Waiver of Sentence Review Form is completed by defendant and/or State of NH prosecuting attorney and is acknowledging a waiver of the sentence review process.  

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Domestic
Form Number
Name of Form
Description
Associated Forms
NHJB-2200-DFPS
(12/06/2006)
Affidavit as to Military Service Form completed to show that defaulting party is or is not in military service Instructions
NHJB-2197-FS
(12/06/2006)
Affidavit of Impossibility Form filed by party who is unable to obtain a financial affidavit from the other side  
NHJB-2647-FS
(03/25/2013)
Affidavit of No Change This is a new form for parties to complete under oath if their financial situation has not changed - or has changed minimally - since the filing of their most recent financial affidavit with the court.

 

 

NHJB-2198-FS
(12/06/2006)
Affidavit of Non-Cohabitation Completed in a divorce action to demonstrate that parties are not living together  
NHJB-2356-FS
(12/06/2006)
Affidavit of Notification Compliance Form filed by party who is seeking ex parte relief, explaining what efforts s/he has made to notify the other party  
NHJB-2067-FS
(04/01/2009)
Affidavit of Receipt of Service To be completed when a party accepts service of a petition.  

NHJB-2763-FS
(06/22/2012)

Agreement and Parenting Plan Order Designating School District This form was developed to respond to the new requirement that there is a signed agreement about where the child(ren) will attend school.  This new form can be provided directly to the school district, rather than giving the school district a copy of the entire parenting plan  
NHJB-2101-FS
(01/25/2011)
Child Support Guidelines Worksheet Completed by parties in divorce or parenting actions to calculate child support  
NHJB-2078-FS
(03/25/2013)
Decree on Parenting Petition This form provides standard language for a temporary or final order on a Parenting Petition. Alternate
NHJB-2076-FS
(03/25/2013)
Ex Parte (Emergency) Motion To be completed by party seeking Ex Parte order. Instructions
NHJB-2656-DFPS
(12/01/2010)
Extra Page for Petitions (or UCCJEA Affidavits) Extra page for petition or UCCJEA affidavits that will not accommodate more than 6 lines of child information (per UCCJEA)  
NHJB-2071-FS
(03/25/2013)
Final Decree on Divorce or Legal Separation This form provides standard language for a final order on a Divorce or Legal Separation. Alternate
NHJB-2065-FS
(03/25/2013)
Financial Affidavit Form used by parties in domestic cases to inform the court and each other of financial information.  
NHJB-2340-DFS
(03/22/2012)
Guardian ad Litem Statement Statement submitted by Guardian ad Litem, itemizing fees and expenses.  
NHJB-2685-FS
(03/25/2013)
Motion to Contest Validity of Foreign Order Motion form for use by respondents seeking to contest the validity of a registered foreign order (pursuant to RSA 458-A)  
NHJB-2061-FS
(12/01/2010)
Parenting Petition Petition to be used by a party, usually unmarried, seeking to establish parental rights and responsibilities.  
NHJB-2390-FS
(12/01/2010)
Parenting Petition (Joint) Petition to be used by parties when they jointly seek to establish parental rights and responsibilities  
NHJB-2064-FS
(02/14/2013)
Parenting Plan This is a form for parties to use in creating their parenting plans. Parenting plans must be filed in any case to establish or modify an order for parental rights and responsibilities, such as a divorce, legal separation, or parenting (formerly “custody”) petition. Alternate
NHJB-2077-FS
(12/27/2007)
Personal Data Sheet To be completed by party filing any initial domestic relations petition, or any petition to reopen a domestic case.  
NHJB-2449-FS
(12/01/2010)
Petition for Civil Union Dissolution Petition to be used for one party to file for civil union dissolution.  
NHJB-2450-FS
(12/01/201)
Petition for Civil Union Dissolution (Joint) Petition to be used when parties agree to file for civil union dissolution together.    
NHJB-2199-FS
(04/09/2009)
Petition for Contempt Petition filed by a party who asserts that another party is in contempt for failing to follow a court order  
NHJB-2057-FS
(12/01/2010)
Petition for Divorce Petition to be used for one party to file for divorce.  
NHJB-2058-FS
(12/01/2011)
Petition for Divorce (Joint) Petition to be used when parties agree to file for divorce together.  
NHJB-2659-FS
(12/01/2010)
Petition for Expedited Enforcement of Foreign (Out of State) Custody Order Petition for use by party seeking expedited enforcement of an out of state child custody order pursuant to RSA 458-A  
NHJB-2228-FS
(12/01/2010)
Petition for Grandparent Visitation To be used when grandparents are seeking visitation with grandchild  
NHJB-2059-FS
(12/01/2010)
Petition for Legal Separation Petition to be used for one party to file for legal separation.  
NHJB-2060-FS
(12/01/2010)
Petition for Legal Separation (Joint) Petition to be used for parties to file for legal separation together.  
NHJB-2746-SUP
(01/01/2012)
Notice of Expedited Confidential Appeal on Parental Notification of Abortion    
NHJB-2383-S
(01/01/2012)
Petition for Waiver of Parental Notice for Abortion Requested by Minor Form used by underage petitioner to request permission for abortion without parental notification.  
NHJB-2245-FS
(12/01/2010)
Petition to Annul Petition to be used for one party to file for annulment.  
NHJB-2062-FS(12/01/2010) Petition to Change Court Order Petition to be used by a party seeking to re-open their case and have the court modify prior orders.  
NHJB-2063-FS
(12/01/2010)
Petition to Register Foreign Order Petition to be used by a party seeking to register an order from another state or jurisdiction.  
NHJB-2074-FS
(12/01/2011)
Pre-Trial Conference Order To be completed by court at Pretrial Conference.  
NHJB-2073-FS
(12/01/2011)
Scheduling Conference Order To be completed by court at Scheduling Conference.  
NHJB-2072-FS
(03/25/2013)
Temporary Decree on Divorce or Legal Separation This form provides standard language for a temporary order on a Divorce or Legal Separation. Alternate
NHJB-2660-DFPS
(12/01/2010)
Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Affidavit This form will be used by petitioners and respondents in cases involving custody of minor children when the petition form or response form does not provide spaces or prompts for this information required by UCCJEA. Instructions
NHJB-2517-FS
(07/01/2011)
Uniform Enforcement Order This form is issued by the court when enforcing child support orders.  
NHJB-2066-FS
(01/01/2011)
Uniform Support Order This form is issued by the court when establishing child support orders.  

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Mediation
Form Number
Name of Form
Description
Associated Forms
NHJB-2488-S
(03/25/2013)
ADR Report The Neutral advises the court of the outcome of the mediation session. This form should be filed immediately following the mediation, but no later than 30 days before the scheduled trial date. If the mediation is successful, parties will file a copy of their agreement and further hearings or the trial, will be cancelled. If mediation is not successful, hearings or the trial will occur as originally scheduled.  
NHJB-2490-S
(08/07/2008)
Ground Rules for Participation in Rule 170 Mediation This form is used at the beginning of the ADR session. Copies are given to the parties, but no copy is filed with the court.  
NHJB-2325-FS
(01/01/2013)
Important Mediation Information This form is given to parties, at First Appearance, along with their date for mediation, as a reminder of payment and other issues.  
NHJB-2752-FS
(01/01/2013)
Mediation Collection Data Form This form is filed by mediators with mediator statement and copy of order on appointment.  
NHJB-2782-FS
(02/14/2013)
Mediation Payment Worksheet This form is to be used when parties are ordered to mediation in parenting or divorce cases.  
NHJB-2681-FS
(03/29/2012)
Mediator Statement - Divorce/Parenting Statement submitted by mediator, itemizing fees and expenses in Divorce/Parenting cases  
NHJB-2091-FS
(04/24/2006)
Parenting Mediation Questionnaire Superior Court and Family Division mediators will give the form to the parties after the mediation is completed so they may complete it and return it to the clerks office in a sealed envelope  
NHJB-2491-S
(01/02/2008)
This form is completed by parties at the end of mediation session for immediate completion. They should then be returned in sealed envelope to either the court staff or directly to the Office of Mediation and Arbitration.
 
NHJB-2262-DFS
(12/15/2006)
Statement for Services other than Counsel Statement itemizing the duration and cost of services other than counsel provided to a party by a person or association, after such services have been approved for payment by the court.  
NHJB-2384-S
(10/18/2010)
This form is completed by counsel and presented to the Judge for approval; Used in civil cases at a structuring conference
 

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General
Form Number
Name of Form
Description
Associated Forms
NHJB-2202-DFPS
(10/31/2006)
Agreement Form is completed by parties who are filing an agreement with the court.  
NHJB-2318-S
(03/25/2013)
Appearance / Withdrawal - Superior Form is used by a party or attorney who is filing an appearance or withdrawing their appearance  
NHJB-2036-DFS
(12/27/2007)
Attorney's Statement Statement submitted by court-appointed counsel, itemizing counsel and paralegal fees, as well as expenses.  
NHJB-2772-DFPSSUP
(08/21/2012)
Audio/Video Notice Form Form is completed by an individual who intends to use audio, video or photography equipment in the courtroom during court proceedings  
NHJB-2340-FS
(01/01/2011)
Guardian Ad Litem Statement Statement submitted by Guardian ad Litem, itemizing fees and expenses  
NHJB-2103-S
(01/16/2009)
Juror Questionnaire Form is completed by potential juror for review by attorneys in upcoming trials.  
NHJB-2294-DFPS
(03/25/2013)
Limited Appearance or Withdrawal by Attorney To be filed by a limited representation attorney to: 1) appear for a client on a limited basis, 2) to withdraw his/her limited appearance, or 3) to move to withdraw his/her limited appearance. Instructions
NHJB-2201-DFS
(03/25/2013)
Motion for.... Generic form completed by a person motioning the court for some relief.  
NHJB-2089-DFS
(03/25/2013)
Motion for Authorization to Obtain Services other than Counsel Motion submitted by court-appointed counsel requesting authorization for additional services to prepare an adequate defense.  
NHJB-2311-S
(07/11/2011)
Motion for Waiver of Court Fees Form is completed by party requesting that filing fees be waived  
NHJB-2756-DFPS
(08/17/2012)
Motion to exceed counsel or GAL fees This form requires the attorney or GAL to submit all information necessary for the judge or master to consider when submitting the request to exceed fee caps to the Administrative Judge for review.   
NHJB-2152-PS
(03/25/2013)
Objection Filed with the court to let the court know that the person objects to a motion or petition already filed. Instructions
NHJB-2277-FS
(12/15/2006)
Petition for ....... To be used when party seeks relief for which there is no specialized court petition.  
NHJB-2705-DPS
(10/26/2010)
Registration of Foreign Judgment To be filed with the court by judgment creditor who has a judgment from another jurisdiction and is seeking to collect said judgment in NH.  
NHJB-2775-DFPS
(03/13/2013)
Subpoena Form is completed by a party or their attorney to compel a person to appear, and/or bring records in their possession, for a court hearing or a deposition. How to subpoena a witness for a court hearing
NHJB-2384-S
(10/18/2010)
Structuring Conference Order This form is completed by counsel and presented to the Judge for approval; Used in civil cases at a structuring conference  
NHJB-2557-DFPS
Transcript Request Form   Instructions

 

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