Juvenile and Domestic Relations District Court - Judges and Clerk's Office

CONTACT INFORMATION: Clerk's Office Hours of Operation: 8:00 am to 4:00 pm M-F
4110 Chain Bridge Road, Room 302
Fairfax, VA 22030
Kristi Smith
Clerk of Court

JDRDC Court Forms

 

All Cases

  • DC-418 - Affidavit Default Judgment Servicemembers Civil Relief Act*
  • L-221 - Attorney Appearance Praecipe (Notice)
  • L-222 - Calendar Control Notice
  • DC-371 - Motion and Notice of Hearing*
  • L-223 - Notice of Change of Contact Information
  • L-224 - Request for the assistance of an interpreter during a hearing
  • L-234 - Notice of Change of Service Address
  • DC-325 - Request for a Witness Subpoena*
  • DC-336 - Subpoena Duces Tecum (for production of documents)*
  • DC-348 – Notice to Individual/Health Care Entities – Subpoena Duces Tecum for Health Records*
  • DC-368 - Motion to Reopen /Motion to Rehear /Motion for New Trial*
  • DC-511 - Petition and Instructions*
  • DC-511 - Petition (Petición)*
  • DC-618 - Request for Confidentiality*
  • DC-699 - Blank Affidavit*
  • VDHH-ISP-01 - Court Sign Language Interpreter/Cart Request Form*

 

Appeals to Circuit Court

   Notice of Appeal for:

  • DC-581 - Civil orders regarding abuse and neglect, child in need of services/supervision, custody, initial foster care review, foster care review, paternity, permanency planning cases, and termination of parental rights matters*
  • DC-475 - Civil orders regarding protective orders, violations of visitation and custody orders, civil capias and civil rules to show cause*
  • DC-602 - Child/spousal support orders*
  • DC-580 - Criminal orders that are a final order of the Court involving adult and juvenile defendants, including capias and criminal rules to show cause*

 

Custody, Child/Spousal Support Forms

  • DC-281 - Petition for Restricted Driver’s License – Failure to Pay Child Support (Instructions to complete form)*
  • DC-413 - Certificate of Mailing when a party is served by posted service*
  • DC-574 - Information Considered in Custody/Visitation Cases*
  • DC-582 - Request for Virginia Registration of a Child Custody and/or Visitation Determination From Another State (Instructions to complete form)*
  • DC-620 - Affidavit Uniform Child Custody Jurisdiction and Enforcement Act*
  • DC-620 - Declaración Jurada (Ley Uniforme de Jurisdicción y Cumplimiento de la Custodia de Menores)*
  • DC-637 - Child Support Guidelines Worksheet and Instructions (sole custody)*
  • DC-638 - Child Support Guidelines Worksheet and Instructions (split custody)*
  • DC-640 - Child Support Guidelines Worksheet and Instructions (shared custody)*
  • DC-685 - Request to Register a Support Order of Another State in a Virginia Juvenile and Domestic Relations District Court for Modification and/or Enforcement*
  • Civil Intake Sheet
  • Formulario Informativo Caso Civil

 

Criminal Forms 

  • L-225 - Motion to Admit Defendant to Bail, set a Bond, or Amend Release Conditions
  • L-226 - Motion for Detention Review (Juveniles)
  • L-232 - Discovery Order - Misdemeanor
  • L-233 - Discovery Order - Felony
  • L-335 - Juvenile Restitution Packet
  • L-336 - Request for Adult Competency Evaluation Form
  • L-337 - Request for Juvenile Competency Evaluation Form
  • L-339 - Request for Electronic Receipt of I&R/IDT Report
  • DC-302 – Request for Copy of Certificate of Analysis*
  • DC-304 - Notice, Motion and Order for Chemical Analysis of Alleged Plant Material*
  • DC-354 - Custodial Transportation Order*
  • DC-587 - Motion and Order for Expungement and Destruction of Juvenile Records (Instructions to complete form)*

 

Motions Forms

 

Protective Order Forms

  • DC-382 - Emergency Protective Order (Orden de Protección de Emergencia)*
  • DC-611 - Petition for a Protective Order - Family Abuse (Solicitud de Orden De Protección por Maltrato Familiar)*
  • DC-649 - Firearms Certification*
  • DC-652 - Order Dissolving a Protective Order (Orden Para Disolver La Orden De Restricción)*
  • DC-684 - Filing of Foreign Protective Order (Instructions to complete form)*
  • Information Pamphlet - Federal and State Firearms Law: Domestic Violence Offender Gun Ban*
  • Folleto Informativo - Ley Federal y Estatal de Armas de Fuego: Prohibición de Armas para Delincuentes de Violencia Doméstica (traducción al español)

 

* - Indicates this link is for a State form and you will be directed away from the Fairfax County Juvenile and Domestic Relations District Court Website.

Fairfax Virtual Assistant