Glendale, AZ · Maricopa County
Defendant’s Financial Statement and Request for a Court-Appointed Attorney
This bilingual court form lets a defendant in a limited-jurisdiction case share financial information and ask the court to consider appointing an attorney.
What this form is
A defendant uses this English-and-Spanish form to ask the court to consider whether they qualify for a court-appointed attorney at reduced or no cost. It asks about household support, employment, income, property, accounts, loans, expenses, and the amount the defendant can contribute toward attorney costs. The defendant declares the answers true under penalty of perjury and signs and dates the form.
Who needs it
A defendant in a limited-jurisdiction case who wants the court to consider their financial circumstances when deciding whether they qualify for a court-appointed attorney.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed without a notary; answers are made under penalty of perjury, and the defendant signs and dates the statement.
How to submit this form
- 1
Download The Form
Download the English-and-Spanish financial statement and request for a court-appointed attorney.
- 2
Complete The Questions
Provide information about your household, income, assets, debts, expenses, and possible contribution to attorney costs.
- 3
Review And Sign
Review your answers, make the declaration under penalty of perjury, and sign and date the form.
- 4
Submit To The City
Submit the form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is this financial statement and attorney request for?
- It gives the court information about a defendant’s finances so the court can consider whether they qualify for a court-appointed attorney at reduced or no cost.
- What information does the form ask for?
- It asks about household support, work, income, property, bank or retirement accounts, loans, expenses, and how much the defendant can contribute toward attorney costs.
- Do I need a notary for this financial statement?
- No. This document is signed without a notary; answers are made under penalty of perjury, and the defendant signs and dates the statement.
- How do I submit the attorney request?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Defendant’s Financial Statement and Request for a Court-Appointed Attorney doesn’t need a notary — but if you have another Glendale form that does, a commissioned online notary can help.