Alexandria General District Court, Virginia
Court-Level Rules, Filing Procedures & Policies
- Rules last changed:
Communication
Phone
Document Format Requirements1 rule
the landlord shall submit to the general district court clerk a written notice, on a form provided by the Executive Secretary,
Document Filing Requirements18 rules
If a tenant enters the Program, a court-ordered payment plan will be completed on Form DC-4102.
If the tenantfails to make a plan payment or misses a monthly rent payment, counsel should file Form DC-4103 (Landlord's Notice of Nonpayment) with the Clerk and serve a copy on the tenant.
The Request for Referral Form must provide the tenant's sworn testimony about income and ability to pay in writing.
Court's wording
To quality, tenants must pay at least 10% of the total amount due at the first docket call, provide sworn testimony as to income and ability to pay (which will be done in writing by completing the Request for Referral Form), and meet the other eligibility criteria under § 55.1-1262(A).
Unless the tenant files a sworn affidavit (Form DC-4104) within 10 days, the Court will enter an order of possession without further hearing. § 55.1-1262(E).
Eligible tenants must appear at the first docket call and submit their completed Request for Referral Form. We have adopted a slightly modified version of Form DC-4101 but tenants may also use the original Form DC-4101.
If the tenant receives a Notice of Nonpayment (Form DC-4103), they have 10 days to file a sworn affidavit (Form DC-4104) disputing the notice.
If seeking to prevent an order of possession after a missed payment, the tenant must file an affidavit showing that the payment was made.
Court's wording
If you miss a plan payment or a monthly rent payment, your landlord may notify the court. The court will then enter an order of possession (eviction) without another hearing, unless you file an affidavit with the court within 10 days showing the payment was made.
Complete the Request for Referral Form and bring it to court on your hearing date
The referral request must state under oath the tenant’s payment ability and other listed program-eligibility facts.
Court's wording
In support of this request, I state the following under oath: 1. I am able to pay at least 10% of the amount due on the hearing date listed on the Summons for Unlawful Detainer (Civil Claim of Eviction). I will pay $ .. . to the [ ] landlord OR [ ] court on the hearing date. 2. I] I have income and have sufficient funds to pay 30% of the amount due each month in addition to my monthly rent payments until the amount due is paid in full. OR I ]I am not employed but have sufficient funds to pay 30% of the amount due each month in addition to my monthly rent payments until the amount due is paid in full. 3. My reason(s) for being unable to make rent payments is/are as follows: 4. I do not owe outstanding rent under any payment plan executed within the last 12 months. 5. I have not defaulted on any rent payment plan executed within the last 12 months. 6. I have not participated in an eviction diversion program within the last 12 months. I hereby state that the above information is correct to the best of my knowledge.
unless you file an affidavit with the court stating that the current rent has, in fact, been paid and that the plaintiff/landlord has not properly acknowledged payment of such.
The landlord's notice must identify the alleged missed payment and provide details of late or missing payments.
Court's wording
I hereby notify this court that the tenant [ ] failed to make a payment under the court-ordered payment plan AND/OR I ] failed to make current monthly rental payments as contracted for in the rental agreement as described below. PROVIDE DETAILS OF LATE OR MISSING PAYMENTS)
I certify that I provided a copy of this Affidavit to the landlord by [ ] mailing OR [ ] hand delivering a copy of this Affidavit on the ... day of ...., 2 ...........o the following address: ADDRESS
Any general district court of the Commonwealth that implements the Program shall attach information about the Program, including eligibility criteria, to any summons for unlawful detainer.
The court-ordered payment plan must use the Executive Secretary’s form and state that payments go to the landlord by an authorized method and are received by the fifth day of each plan month.
Court's wording
the plan. The court- ordered payment plan shall be based on a payment agreement entered into by the landlord and tenant, on a form provided by the Executive Secretary, and shall contain the following provisions: 1. All payments shall be (i) made to the landlord; (ii) paid by cashier's check, certified check, money order, or electronic funds transfer; and (iii) received by the landlord on or before the fifth day of each month included in the plan;
a written notice, on a form provided by the Executive Secretary, that the tenant has failed to make payments in accordance with the plan.
an affidavit with the court within 10 days of the date of such notice stating that the current rent has in fact been paid and that the landlord has not properly acknowledged payment of such rent.
A convicted defendant who qualifies for the exemption must complete forms DC-210 and DC-211, including current financial status on DC-210.
Court's wording
If you are convicted and qualify for this exemption, you must fill out a DC-210 (Fines and Costs Payment Agreement/Acknowledgment of Driver's License Status) indicating your current financial status, and DC-211 (Petition for payment Agreement for fines and costs or Request to Modify Existing Agreement).
Either this Form or FORM DC-4101 may be used in the City of Alexandria General District Court
Filing & Service rules
Filing Timing and Cure Windows
Eligible tenants must make the referral request at the first docket call; they cannot make it before the hearing or at a later hearing.
Eligible tenants must appear at the first docket call and submit their completed Request for Referral Form. We have adopted a slightly modified version of Form DC-4101 but tenants may also use the original Form DC-4101. This request cannot be made before the hearing or at a later hearing.
Court notice
Page 1 | For Tenants
A tenant who receives a Notice of Nonpayment has 10 days to file a sworn Form DC-4104 affidavit disputing it.
If the tenant receives a Notice of Nonpayment (Form DC-4103), they have 10 days to file a sworn affidavit (Form DC-4104) disputing the notice.
Court notice
Page 1 | For Tenants
A tenant must file a sworn Form DC-4104 affidavit within 10 days to avoid an order of possession without further hearing.
Unless the tenant files a sworn affidavit (Form DC-4104) within 10 days, the Court will enter an order of possession without further hearing. § 55.1-1262(E).
Court notice
Page 1 | For Landlords
After a missed plan or monthly rent payment, file an affidavit showing payment was made within 10 days to avoid an order of possession without another hearing.
If you miss a plan payment or a monthly rent payment, your landlord may notify the court. The court will then enter an order of possession (eviction) without another hearing, unless you file an affidavit with the court within 10 days showing the payment was made.
Court notice
Page 3 | IF YOU MISS A PAYMENT
To prevent an order of possession from being entered within 10 days after the landlord signs the notice, the tenant must file an affidavit stating that current rent was paid and not properly acknowledged.
Within 10 days of the date the Plaintiff/Landlord has signed this notice, the court will enter an order of possession without further hearings or proceedings unless you file an affidavit with the court stating that the current rent has, in fact, been paid and that the plaintiff/landlord has not properly acknowledged payment of such.
Court notice
Page 6 | LANDLORD'S NOTICE OF NONPAYMENT
An appeal from an order of possession must be filed and perfected within 10 days of entry of the order.
You have the right to appeal an order of possession. Any such appeal must be filed and perfected within 10 days of entry of the order of possession.
Court notice
Page 6 | AFFIDAVIT OF TENANT IN RESPONSE TO LANDLORD'S NOTICE OF NONPAYMENT
unless the tenant files an affidavit with the court within 10 days of the date of such notice
unless the tenant files an affidavit with the court within 10 days of the date of such notice
Court notice
Page 9 | IF YOU MISS A PAYMENT
Service and Proof of Service Rules
If the tenantfails to make a plan payment or misses a monthly rent payment, counsel should file Form DC-4103 (Landlord's Notice of Nonpayment) with the Clerk and serve a copy on the tenant.
If the tenantfails to make a plan payment or misses a monthly rent payment, counsel should file Form DC-4103 (Landlord's Notice of Nonpayment) with the Clerk and serve a copy on the tenant.
Court notice
Page 1 | For Landlords
Starting July 1, 2026, unlawful-detainer summonses must be served with information about the Program and its eligibility criteria.
Effective July 1, 2026, any summons for unlawful detainer filed in this Court must be served with information about the Program and eligibility criteria.
Court notice
Page 1 | For Landlords
The landlord's notice certifies that a copy was provided to the tenant by mail or hand delivery.
I certify that I provided a copy of this Notice to the tenant by [ ] mailing OR [ ] hand delivering a copy of this Notice on the ... day of ., 20 .... to the following address:
Court notice
Page 6 | LANDLORD'S NOTICE OF NONPAYMENT
The tenant must provide the affidavit to the landlord by mail or hand delivery.
I certify that I provided a copy of this Affidavit to the landlord by [ ] mailing OR [ ] hand delivering a copy of this Affidavit on the ... day of ...., 2 ...........o the following address:
Court notice
Page 7 | AFFIDAVIT OF TENANT IN RESPONSE TO LANDLORD'S NOTICE OF NONPAYMENT
A copy of the landlord's written notice must be given to the tenant in accordance with § 55.1-1202.
A copy of such written notice shall be given to the tenant in accordance with § 55.1-1202.
Court notice
Page 9 | IF YOU MISS A PAYMENT
A copy of the tenant's affidavit must be given to the landlord in accordance with § 55.1-1202.
A copy of such affidavit shall be given to the landlord in accordance with § 55.1-1202.
Court notice
Page 9 | IF YOU MISS A PAYMENT
Filing Fees and Waivers
The court may assess a one-time $10 fee when fines or costs under a payment agreement will not be paid in full within 90 days.
Upon entering into a Payment Agreement, this court may assess a one-time fee of $10 if the fines and/or costs will not be paid in-full within 90 days.
Criminal cases
Page 1 | Deferred or installment payment guidelines and community service terms and conditions
Information to share with defendant regarding payment when they appear at the customer service window after court: If account is not paid in full within 90 days (without payment plan), the case will go to collections and the collection fee (499) will be assessed.
Information to share with defendant regarding payment when they appear at the customer service window after court: If account is not paid in full within 90 days (without payment plan), the case will go to collections and the collection fee (499) will be assessed.
Criminal cases
Page 2 | Deferred or installment payment guidelines and community service terms and conditions
Adjournment & Extension Requirements
The court must continue the unlawful-detainer case to allow full payment under the plan.
The court shall provide for a continuance of the case on the docket of the general district court in which the unlawful detainer action is filed to allow for full payment under the plan.
Court notice
Page 8 | EVICTION DIVERSION PROGRAM
A judge grants continuances in civil and criminal cases; the clerk may grant one continuance for infractions.
Continuances granted by Judge for civil and criminal cases; by Clerk for infractions for one continuance.
Page 1 | Continuance Policy
Chambers Communication Rules
A defendant whose income circumstances change and who gains an additional income source must contact the clerk's office to enter into a payment agreement.
Should circumstances change and there is an additional source of income, the defendant must contact the clerk's office to enter into a payment agreement.
Criminal cases
Page 2 | Deferred or installment payment guidelines and community service terms and conditions
You may check docket schedules or case status online or by calling the listed Traffic, Criminal, or Civil phone numbers.
You may check the scheduling of dockets or the status of a case online at www.vacourts.gov or by calling the Traffic, Criminal and Civil Phone numbers above.
Page 1 | Court Schedule