THIS FORM MUST BE KEPT CONFIDENTIAL - California 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your attorney information, including name, state bar number, and address. If you are representing yourself, leave this section blank.
3. Fill in the court details such as the name of the court, street address, mailing address, city, and zip code.
4. Indicate whether you are the plaintiff/petitioner or defendant/respondent.
5. In the application section, specify if you can pay court fees. If not, check box 1a; if partially able, check box 1b and list specific fees.
6. Provide your current address and occupation details in sections 2 and 3. Include your spouse's information if applicable.
7. Complete section 4 by checking any financial assistance programs you receive. If applicable, provide your Medi-Cal number or social security number.
8. If necessary, fill out income details in section 9 and expenses in section 11 to support your application for a fee waiver.
9. Finally, review all entries for accuracy before signing at the bottom of the form to declare under penalty of perjury that your information is correct.

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