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- Click ‘Get Form’ to open the indigent fund application in the editor.
- Begin by filling out Part A with your personal information, including your name, date of birth, and contact details. Ensure all fields are completed clearly.
- In Part B, indicate whether your license has been revoked and provide relevant conviction details if applicable. Attach any necessary court documents.
- For Part C, select the public assistance program you are enrolled in and attach proof of enrollment as required.
- If you were previously determined indigent, complete Part D with the necessary details and attach supporting documentation.
- Finally, review all sections for accuracy, sign in Part E, and ensure your signature is notarized before submitting the application.
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