There are two alternative Pruzbul forms in both Hebrew and English.
Form A – cRc as Agent:
The lender asks three men to sit as judges on a Beth Din. (The individuals must be Torah observant men who are not related to one another, to the lender, or to the borrower.) The lender declares before them: “I submit to you judges in this place all of the loans that I have outstanding, and I therefore may collect these loans at any time that I desire.” The lender then fills in the Pruzbul form as evidence that he made a Pruzbul.
Hebrew version
English version
Form B – In Front of Witnesses:
The lender asks two men to serve as witnesses. (The individuals must be Torah observant men who are not related to one another, to the lender, or to the borrower.) The lender declares before them: “You are my witnesses that I am submitting all of the loans that I have outstanding to the Beth Din of the Chicago Rabbinical Council, comprised of Rabbi Yona Reiss, Rabbi Aaron Kraft, and Rabbi Yisroel Langer, and I therefore may collect these loans at any time that I desire.” The lender then fills in the Pruzbul form as evidence that he made a Pruzbul, and sends the form to the Beth Din of the Chicago Rabbinical Council.
