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SUPERVISOR S SIGNATURE DATE WORKER CAPI is a public assistance program funded by the State of California. If the indigence exception is being applied to the applicant/recipient named on this form forward a copy of this form to Office of Program and Regulation Development U.S. Citizenship and Immigration Services 20 Massachusetts Avenue NW Washington DC 20529-0001 SOC 813 2/09 AND California Department of Social Services Adult Programs Branch 744 P Street M. CALIFORNIA DEPARTMENT OF SOCIAL...

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What is indigence exception form?

The indigence exception form is a document that individuals can fill out to request an exception to the usual fees associated with a particular process or service based on their financial status.

Who is required to file indigence exception form?

Any individual who believes they meet the criteria for indigence and are unable to pay the required fees for a particular process or service may be required to file an indigence exception form.

How to fill out indigence exception form?

To fill out the indigence exception form, individuals need to provide their personal information, including their name, address, and contact details. They will also need to provide details about their financial situation, such as income, assets, and expenses.

What is the purpose of indigence exception form?

The purpose of the indigence exception form is to allow individuals who are unable to afford the fees associated with a particular process or service to request an exception and have the fees waived or reduced based on their financial status.

What information must be reported on indigence exception form?

The indigence exception form typically requires individuals to report their personal information, financial information including income, assets, and expenses, and provide supporting documentation like bank statements or proof of income.

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