Fee Waiver Draft Builder

Fill this in to draft an Application for Waiver of Court Fees. Print or save when done. Then attach or copy the information onto the official form your court requires.

This is a personal draft to help you organize. It is not a filed application. Your county's court may require a specific approved form — always confirm with the clerk.

Your draft is stored only in this browser. Sign in to also save it to your account.

Application for Waiver of Court Fees — Draft

Full legal nameCase number (if you have one)AddressCountyPhoneEmail

Household & income

Household size (including you)Total monthly income ($)Sources of income (job, benefits, family help)

Do you receive any of these public benefits?

Monthly expenses ($)

Rent / mortgageUtilitiesFoodMedicalTransportationChildcareOther essentials

Total monthly expenses (draft): $0.00

Why you cannot afford court fees

Signature

Date signed

I certify that the information above is true and correct to the best of my knowledge.

Legal information ≠ legal advice. This tool is educational. For advice about your specific situation, contact a licensed attorney or legal-aid organization.