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DECLARATION OF INDIGENCE FORM TESTING FEE WAIVER FORM I Print Name hereby declare I do not have the financial resources with which to pay the standard application fee of 35 for taking the Entry-Level Police Officer examination. I understand this declaration of indigence will allow the City of Lakewood to waive payment of said testing fee. I further understand if this declaration is falsely made such false making is and will be grounds for the voiding of my test results in total* Signature Date.
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How to fill out a declaration of indigence form:

01
Fill in your personal information: Provide your full name, address, contact information, and any other requested details.
02
State your financial situation: Explain in detail why you are unable to afford the expenses related to the matter at hand. Include information about your income, assets, debts, and any other relevant financial information.
03
Provide supporting documents: Attach any supporting documents that can verify your financial situation, such as bank statements, pay stubs, tax returns, or proof of government assistance.
04
Sign and date the form: Once you have completed all the necessary sections, sign and date the declaration of indigence form to certify that the information provided is true and accurate.

Who needs a declaration of indigence form?

01
Individuals facing financial hardships: Anyone who is unable to afford legal fees, court costs, or other related expenses due to their financial situation may need to complete a declaration of indigence form.
02
Legal aid recipients: Individuals who are eligible for legal aid or assistance programs may be required to provide a declaration of indigence form to determine their eligibility.
03
Applicants for fee waivers: People applying for fee waivers in various matters such as court filings, administrative procedures, or government applications may need to submit a declaration of indigence form to request the waiver.
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The declaration of indigence form is a document used to assess an individual's financial status to determine if they qualify for certain benefits, assistance, or waivers based on their economic circumstances.
Individuals who believe they meet certain criteria for financial hardship or indigence may be required to file a declaration of indigence form to demonstrate their eligibility for specific programs, benefits, or waivers.
To fill out a declaration of indigence form, individuals need to provide accurate and complete information about their income, assets, expenses, and any other required details as specified in the form. It is essential to follow the instructions provided and ensure all necessary supporting documentation is attached, if required.
The purpose of the declaration of indigence form is to assess an individual's financial resources and determine if they meet the criteria for assistance, benefits, or waivers based on their economic circumstances.
The declaration of indigence form typically requires individuals to report information such as their income, assets, expenses, dependents, and any other relevant details specified by the issuing authority or program.
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