United States Bankruptcy Court Western District of Oklahoma

File Claim
Case Number
Example: 14-00002
Name of Creditor
Filed by

IMPORTANT NOTICE OF REDACTION RESPONSIBILITY: All filers must redact: Social Security or taxpayer-identification numbers; dates of birth; names of minor children; and financial account numbers, in compliance with Fed. R. Bankr. P. 9037. This requirement applies to all documents, including attachments. Medical records may be subject to this requirement. If personally identifiable information is filed, the filer will be required to file a Motion to redact the information and to pay a filing fee of $25.00.

IMPORTANT WARNING: A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both.
18 U.S.C. §§ 152, 157, and 3571.

I understand that, if I file, I must comply with the redaction rules. I have read this notice.

NOTE: This form should not be used to make a claim for an administrative expense arising after the commencement of the case. A "request" for payment of an administrative expense may be filed pursuant to 11 U.S.C. § 503.

At a future date, all attachments must be in PDF/A format.
Installed Version: 5.0