Court Fee Waiver Questionnaire

We do not share your information with any third parties. This questionnaire will take approximately five (5) to ten (10) minutes of your time. Any questions marked with an asterisk (*) require an answer to progress through the questionnaire. If you have any questions about this questionnaire, for an immediate response you may live chat us or call 888-731-1500.
Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*

Name of your employer?
Employer Address?
Position or Title?
Why are you asking the court to waive your court fees (Choose one of a, b, or c)
a) I receive:
b) My gross monthly household income (before taxes) is less than:
If more than six (6) in the family, provide household income
c) I do not have enough income to pay for my household's basic needs and the court fees. I ask the court to:

Have you asked the court to waive court fees in this case within the last six months?*
Does your income change from month to month?*
If yes, please fill out below based on your average income for the past 12 months
Please list your monthly income before taxes:
Please list payroll deductions and amount
Please list the source and amount of any other income you receive each month, including spousal/child support, retirement, social security, etc.
Please list all other persons living in your home and their income:*
(List only spouse and all individuals who depend in whole or in part on your support or on whom you depend in whole or in part for support)

Your Money and Property:
a) Cash*
b) All financial accounts (List bank name and amount only)*
c) Cars, boats and other vehicles (List make/year, fair market value, how much you still owe)*
d) Real Estate (List address, fair market value, how much you still owe)*
e) Other personal property (Jewelry, furniture, furs, stocks, bonds, etc.)*

YOU ARE ALMOST DONE, click submit, wait a second, and electronically initial and sign the agreement to complete the process. Thank you for choosing Superior Court Docs.
We charge $175.00 to prepare all of the judicial council documents relating to court fee waivers.
Court Fee Waiver*

Why are you asking the court to waive your court fees (Choose one of a, b, or c)