Indiana Supreme Court
Office of Judicial Administration
State House, Room 314
200 W. Washington Street
Indianapolis, IN 46204

Contact Us

Mary Willis
Chief Administrative Officer

Judicial Administration > Personnel & Operations > Judicial Payroll & Benefits > Benefits and Payroll Forms Benefits and Payroll Forms

Notification of Employment Status of a Judge
Notification of Employment Status of Prosecutor
State Court Administration Payroll Form for Judicial Officers
State Court Administration Payroll Form for Chief and Deputy Prosecutors
Claims for Services as a Senior Judge
Claims for Service as a Special Judge
Prison/Mental Health Facility Population Verification Form

All forms are to be filed at the following address:

Office of Judicial Administration
30 South Meridian Street,Suite 500
Indianapolis, IN 46204-3564

Judges may require that court clerks, reporters, or other officers or employees furnish the needed information, but all reports should be reviewed, approved, and signed by the judge.

The forms published on this page are available, in part, as fillable Adobe PDF documents.

SHOULD YOU HAVE ANY QUESTIONS CONCERNING ANY PORTION OF ANY REPORT, YOU ARE ENCOURAGED TO CONTACT JUDICIAL ADMINISTRATION AT (317) 232-2542. Please also feel welcome to contact Tom Carusillo, Director of Trial Court Services, via email: