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Please note: The standard instructions and forms contained in this division are for informational purposes only and do not constitute legal advice about your case.  If you choose to represent yourself, you are bound by the same rules and procedures as an attorney.  These forms may be used in this division but other courts in this district have not approved these forms.  Some of these forms have been revised to eliminate the option of modifying the form itself.  This decision was made to protect the integrity of forms presented to the court and will allow the court to know that the forms contain all the required information.  Users may continue to download the forms for completion but modification of the form is not available.

Criminal and Traffic

Financial Affidavits for Appointed Defense Services

Financial Affidavit (English)

Financial Affidavit (Español)

Plea Advisories

Plea Advisory (English)

Plea Advisory (Español)


Forms for expungement of arrest record, conviction or diversion, along with instructions, may be found at the Kansas Judicial Council.


Request for Disclosure of an Affidavit or Sworn Testimony (fillable)

Notice of Duty to Register

Notification of Procedures and Requirements of the Offender Registration Act

Waiver of Extradition

Major Civil

Civil Cover Sheet

Name Change

Forms for adult name change, along with instructions, may be found at the Kansas Judicial Council.

Limited Civil Actions


Forms for evictions, along with instructions, may be found in the Help Center.


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Department Contacts

Division 3

Name Job Title Phone Number Email Address
The Honorable Catherine Theisen District Judge 785-832-5230
Kayla Dvorak Administrative Assistant 785-832-5230