United States Bankruptcy Court Southern District of Indiana Initial application for pro bono panel services Family size Include yourself, spouse and anyone you could claim as a dependent for tax purposes. Use numbers only.   How are you paid? Weekly Bi-weekly (every two weeks) Semi-monthly (twice a month) Monthly   Gross income per pay period selected above $ Include yourself and spouse. Gross income is before taxes and other deductions, not "take-home pay."   Do you have a bankruptcy case pending in our district? Yes No Enter the case number (in YY-NNNNN format): Select your county of residence: not listed Bartholomew Boone Brown Clark Clay Clinton Crawford Daviess Dearborn Decatur Delaware Dubois Fayette Floyd Fountain Franklin Gibson Greene Hamilton Hancock Harrison Hendricks Henry Howard Jackson Jefferson Jennings Johnson Knox Lawrence Madison Marion Martin Monroe Montgomery Morgan Ohio Orange Owen Parke Perry Pike Posey Putnam Randolph Ripley Rush Scott Shelby Spencer Sullivan Switzerland Tipton Union Vanderburgh Vermillion Vigo Warrick Washington Wayne This service is only available to residents of these Indiana counties located in the Southern District of Indiana. Use this locator to find your district outside of the Southern District of Indiana and contact that court directly for assistance.   Do you have any extraordinary monthly expenses, ongoing medical conditions or other special circumstances? * Required information