Skip to main content
United States District Court
Southern District of West Virginia
Honorable Frank W. Volk, Chief Judge
Rory L. Perry II, Clerk • Troy A. Lanham CUSPO
Search form
Search this site
Text Size:
Decrease font size
Reset font size
Increase font size
Court Info
Court Locations
Rules and Orders
Naturalization
Court Holidays
Judicial Districts by County
Fees and Interest Rates
Employment
Victim Restitution Info
Judges' Info
District Court Judges
Magistrate Judges
Calendar
Opinions
Jury Info
eJUROR
Summonsing to Service
Contact Information/Directions
Jury Service FAQs
For Attorneys
Attorney Admissions
Courtroom Technology
Filing Without an Attorney
Forms
Case Info
CM/ECF Info
MDL
Criminal Justice Act
Become a Panel Attorney
Panel Attorney Information
CJA Compensation Rate
CJA Compensation Maximums
Travel Information
CJA Policy Documents
eVoucher Tutorials
eVoucher Tips and Tricks
Criminal Justice Act Forms
Criminal Justice Act Orders
Programs & Services
Alternative Treatment Court
Records Access & Copies
Transcript Information
Educational Resources
Media
You are here
Home
Forms
Disclosure Statement
Search this site
Form Number:
SDWV
Revision Date:
05/2024
Download Form
Category:
Miscellaneous