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STATE OF FLORIDA COMMISSION ON HUMAN RELATIONS Plaintiff/Petitioner or In the Interest Of vs. Defendant//Respondent CASE NO. APPLICATION FOR DETERMINATION OF CIVIL INDIGENT STATUS Notice to Applicant:

How to fill out indigent status form

How to fill out indigent status form

1. Step 1: Obtain the indigent status form from the relevant authority or organization.
2. Step 2: Read the instructions and requirements carefully before filling out the form.
3. Step 3: Provide personal information as required, including your full name, address, and contact details.
4. Step 4: Clearly indicate your financial situation, including your income, expenses, and any assets you may have.
5. Step 5: Attach any supporting documentation that may be required, such as proof of income or expenses.
6. Step 6: Review the completed form to ensure all necessary information is provided and accurate.
7. Step 7: Sign and date the form.
8. Step 8: Submit the form to the designated authority or organization, either in person, by mail, or online as instructed.
9. Step 9: Follow up with the authority or organization if there is any additional information required or if you have any questions.
10. Step 10: Wait for a response from the authority or organization regarding the status of your application.

Who needs indigent status form?

1. Anyone who believes they meet the criteria for indigent status and requires financial assistance or benefits may need to fill out an indigent status form. This may include individuals with low income, limited assets, and those who are unable to afford basic necessities such as housing, healthcare, or legal representation. The exact eligibility requirements may vary depending on the authority or organization providing the form, so it is important to review the specific guidelines to determine if you need to fill out the indigent status form.

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