Financial Questionnaire Form (Indigency)

This document is a bilingual (English and Spanish) Financial Questionnaire designed for Municipal Courts to establish an individual's indigency. The form collects comprehensive personal, financial, and employment information from an applicant seeking services for indigent defense or requesting installment payments for fines/penalties. It details sections for general information, employment history, income and assets, expenses and liabilities, and attorney information, concluding with authorizations and certifications regarding the truthfulness of the provided data. The form includes specific questions about income, assets, liabilities, and prior legal representation to determine eligibility for indigent defense services or payment plans.