Form 982a17a 2001-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your attorney's name, state bar number, and address in the designated fields. If you are representing yourself, leave this section blank.
3. Fill in your contact information including telephone number, fax number (optional), and email address (optional).
4. Provide the name of the court and case number at the top of the form.
5. In Section 1, indicate your ability to pay court fees by checking the appropriate box. If you can only pay some fees, specify which ones.
6. Complete Section 2 with your current street or mailing address, ensuring to include city, apartment number (if applicable), and zip code.
7. In Section 3, provide details about your occupation and employer. Repeat for your spouse if applicable.
8. If receiving financial assistance, check all relevant programs in Section 4 and provide any required information such as Medi-Cal or social security numbers if comfortable.
9. Proceed to complete Sections 6 through 12 regarding income, expenses, and any additional facts that support your application.
10. Finally, review all entered information for accuracy before signing and dating the form at the bottom.

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