Home
Forms Library
Certificate of indigency

Certification of Determination of Indigency - Colorado 2026

certificate of indigency Preview on Page 1

See details

4.7 out of 5

41 votes

The document is a Certification of Determination of Indigency form used in Colorado courts, which certifies that a client is eligible for fee waivers based on their financial status. It outlines the process for determining indigency, including references to relevant legal acts and requirements for maintaining records. The form must be signed by an authorized person from a legal service provider and includes sections for case details and contact information.

Here's how it works

01. Edit your certificate of indigency online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send indigency certificate via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Certification of Determination of Indigency - Colorado with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Certification of Determination of Indigency in the editor.
Begin by entering the court information at the top, including the county and court address. This sets the context for your application.
Fill in the plaintiff/petitioner and defendant/respondent details, ensuring accuracy as this information is crucial for case identification.
Provide your contact information, including phone number, fax number, email, and attorney registration number if applicable. This ensures that you can be reached regarding your application.
In the certification section, enter your name as the authorized person signing for the Legal Service Provider. Clearly state the client's name who is being represented.
Select one of the two options regarding how indigency was determined: either through a review under the Legal Services Corporation Act or via a Motion to File without Payment.
Sign and date the form at the bottom. Ensure that both you and any legal services provider certifying indigency have signed where indicated.

Start using our platform today to complete your Certification of Determination of Indigency quickly and for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the monthly income limit to qualify for Medicaid in Colorado?

Approximate Monthly Income To Qualify for Health First Colorado Family SizeAdults 19-65Children 0-18 Family of 1 up to $1,735 up to $1,852 Family of 2 up to $2,345 up to $2,503 Family of 3 up to $2,954 up to $3,154 Family of 4 up to $3,564 up to $3,8051 more row

What qualifies as an indigent in Colorado?

If the applicants income is at or below the income eligibility guidelines (see the Monthly Income Guideline and Yearly Income Guideline columns in the chart on the last page of this Directive) and he or she has liquid assets of $1,500 or less, as determined on form JDF 205, the applicant is indigent and eligible

What is determination of indigency?

0:13 3:54 So what does indigency. Really mean indigency refers to a persons lack of financial. Resources toMoreSo what does indigency. Really mean indigency refers to a persons lack of financial. Resources to secure legal representation. And cover related expenses for a legal.

What qualifies you as an indigent?

An indigent person is someone who is extremely poor. Legally, it typically means their income is less than 125% of the federal poverty level.

How to apply for Colorado Indigent Care Program?

You may call a participating CICP provider to schedule an appointment to complete the application process. To find hospitals and clinics that participate in the CICP, see the CICP Provider Directory or call (toll free) 1-800-221-3943 / State Relay: 711.

certified indigent

C.R.S. 13-16-103 Colorado Supreme Court

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

What is a declaration of indigency?

If you cannot afford the filing fees for your case you can submit an Affidavit of Indigency (also known as a Poverty Affidavit)to ask the court to let you file your case without paying the filing fees and service fees.

How much does it cost to change your last name in Colorado?

Other Case Types Case TypeFeeLegal Authority Name Change Petition $98 13-32-101(1)(c)(III.5)(A), (9) Register a Foreign Judgment $201 13-53-106(a) Protection Order (under 13-14-109) $95 13-32-101(1)(c)(III.5)(A), (9)

What is considered indigent in Colorado?

If the applicants income is at or below the income eligibility guidelines (see the Monthly Income Guideline and Yearly Income Guideline columns in the chart on the following page) and he or she has liquid assets of $1,500 or less, as determined on form JDF 205, the applicant is indigent and eligible for waiver of