Claim Forms

Claim Forms and Court-related Requests

 

General Instructions:

When completing ANY of the forms below, fill in County of YORK, Magisterial District Number XX-XX-X, MDJ's Name, MDJ's Address and Phone number (DO NOT ENTER DOCKET NO., DATE FILED, OTN—FOR OFFICE USE ONLY)

 

Civil Complaint

Filing Instructions -
This is the civil complaint form for use
in filing small claims. Tenants also
should use this form when filing
complaints about landlords. You need
to have one copy of the civil complaint
with original signature for the
magisterial district judge. You will be
charged filing costs and service costs
when the complaint is filed at the
District Court.  Please refer to the
Fee/Cost Schedule for approximate
costs.  (DO NOT ENTER COSTS—
FOR OFFICE USE ONLY)

Landlord-Tenant Action

Filing Instructions - 
You need to have one copy of the
landlord-tenant complaint with
original signature for the magisterial
district judge. You will be charged
filing costs and service costs when
the complaint is filed at the district
court.  Please refer to the
Fee/Cost Schedule for approximate
costs.  (DO NOT ENTER COSTS—
FOR OFFICE USE ONLY)

Private Complaint

Filing Instructions -
This form is to be used by private
citizens when requesting criminal
charges be filed against a
defendant.  Please note that Rule
506 of the Pennsylvania Rules of
Criminal Procedure requires that
when a private citizen completes
this form, it must be submitted to
the District Attorney's Office  for
approval before it can be filed in
a Pennsylvania Magisterial
District Court.  In York County,
Summary Bad Check complaints
Section 4105 Sub-section A1 of
the PA Crimes Code (1st or 2nd
offense and the check value is
<$200.00 per check) may be
filed without prior DA approval.

 

Authorization of Representation

Use this form to comply with Rule 207
of the Civil Rules of Procedure when
you wish to authorize another person
to act as your agent on behalf of you,
your partnership or corporation.

Request for Official Records

Most court files and document in court
files are open and available to the
public.  Use this form to request court
files or documents in Magisterial
District Courts.

Request for Entry of Satisfaction

A Creditor who was awarded a Civil
Judgment by the Magisterial District
Judge shall file this form with the
District Court upon satisfaction of
the Judgment.  If the Creditor fails to
file this form in a timely manner after
the Judgment has been satisfied,
the person to whom the Judgment
was against, may file this request.