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Forms for Filing a Bankruptcy Case

Below are the forms required for individuals without an attorney to file a chapter 7 or chapter 13 case (including a joint case). For options to submit the completed documents for filing, see our Court Operations During Coronavirus (COVID-19) Outbreak page.

Chapter 7 Individual Bankruptcy Case

Form Name Form Instructions for Submission of Forms

Petition, Schedules and Related Documents

Chapter 7 Petition Packet.pdf

  • Fill out these documents according to these instructions.
  • If filing with Public Document Upload or via fax, file as a single PDF separately from other documents.
  • If filing in paper (using the mail or court drop box), be sure to sign the documents in all the required places and bundle them together (with a rubber band, clip, etc.) separately from other documents.

Official Form 121, Statement of Your Social Security Numbers

B 121.pdf

  • File separately from other documents.
  • To protect against identity theft, this form will not be viewable by the public.

Official Form 122A-1, Chapter 7 Statement of Your Monthly Income

B 122A-1.pdf

B 122A-2.pdf

B 122A-1Supp.pdf

  • Completion of Form 122A-1 will determine whether either of the other forms is required.
  • Combine any required 122A forms into a single PDF, or with a staple if filing in paper, and file separately from other documents.   

Application to Pay in Installments

Application to Have the Chapter 7 Filing Fee Waived

110.pdf

B 103B.pdf

  • If filing your case via the Public Document Upload or fax, file one of these applications.
  • To qualify to have the filing fee waived, your income must be less than 150% of the official poverty line (see "Related Links" on the linked page).
  • If filing via mail or drop box, you may file one of these applications or pay the full filing fee with a check or money order.
  • File separately from other documents.

Creditor Mailing List

104.pdf

  • Prepare and submit the mailing list according to these instructions.

Chapter 13 Individual Bankruptcy Case

Form Name Form Instructions for Submission of Forms

Petition, Schedules and Related Documents

Chapter 13 Petition Packet.pdf

  • Fill out these documents according to these instructions.
  • If filing them with the Public Document Upload system or via fax, file them as a single PDF separately from the forms below.
  • If filing them in paper (using the mail or court dropbox), be sure to sign the documents in all the required places and bundle them together (with a rubber band, clip, etc.) separately from the documents below.

Official Form 121, Statement of Your Social Security Numbers

B 121.pdf

  • File separately from other documents. To protect against identity theft, this form will not be viewable by the public.

Official Form 122C-1, Chapter 13 Statement of Your Monthly Income and Calculation of Commitment Period

B 122C-1.pdf

B 122C-2.pdf

  • Completion of this form will determine whether Official Form 122C-2 is required. Combine all required 122C forms in a single PDF, or with a staple if filing in paper, and file separately from other documents.   

Chapter 13 Plan

1300.17.pdf

  • File separately from other documents.

Application to Pay Filing Fee in Installments

110.pdf

  • If filing your case via the Public Document Upload or fax, file this document in a separate PDF.
  • If filing via mail or drop box, you may file this application or pay the full filing fee with a check or money order.

Creditor Mailing List

104.pdf

  • Prepare and submit the mailing list according to these instructions.