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GRANT COUNTY DISTRICT COURT INDIGENCE SCREENING FORM CONFIDENTIAL Per RCW 10.101.020(3) (Please Print Legibly) Name Address City State Zip Case Number(s) 1. Place an x next to any of the following
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What is indigency screening form?
The indigency screening form is a document used to determine if an individual qualifies for financial assistance based on their income and resources.
Who is required to file indigency screening form?
Individuals who are seeking financial assistance or benefits from a specific program or organization may be required to file an indigency screening form.
How to fill out indigency screening form?
To fill out an indigency screening form, individuals must provide information about their income, assets, expenses, and any other relevant financial details.
What is the purpose of indigency screening form?
The purpose of the indigency screening form is to determine if an individual qualifies for financial assistance based on their financial situation and need.
What information must be reported on indigency screening form?
Information that must be reported on an indigency screening form may include income, assets, expenses, household size, and any other relevant financial details.
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