Elsie, MI · Clinton County
Affidavit of Indigency
This affidavit lets a person requesting public records from LARA ask for a fee waiver by stating they receive public assistance or explaining their inability to pay due to indigence.
- licensed online notary
- ~15 min average
- Notarized PDF emailed
What you’ll need
- Government-issued photo ID
- Webcam-enabled device (laptop or phone)
- This form, ready to upload as a PDF
What this form is
The form is for a LARA public records request and asks the requester to provide their name, indicate whether they receive public assistance, and explain inability to pay if applicable. It also asks whether outside parties are providing payment or remuneration for the request. The requester swears or affirms the information is true and correct, then returns the form to LARA’s FOIA Office using the contact details shown.
Who needs it
A person requesting LARA public records who seeks the fee waiver described on the form and meets its stated eligibility conditions may use this affidavit.
How to get this notarized
- 1
Download The Form
Get the Affidavit of Indigency from the provided form link.
- 2
Complete The Requester Fields
Enter your name, answer the public-assistance and outside-party questions, and explain inability to pay if applicable.
- 3
Book An Online Notary
Schedule a session with a commissioned online notary and have identification ready.
- 4
- 5
Submit It To LARA
Return the notarized affidavit to the LARA FOIA Office using the contact details printed on the form.
Preview the form
The blank PDF straight from Elsie. Look it over, then upload your filled copy to start the notary session.
You’ll need ID and a webcam.
A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.
Frequently asked questions
- How do I get the Affidavit of Indigency notarized online?
- Complete the form, book a commissioned online notary, and sign during your video session. The notary completes the jurat after you swear or affirm the affidavit.
- Do I need to sign the affidavit in front of a notary?
- Yes. The form includes a notary-use section stating that the affidavit was signed and sworn before a notary, so wait to sign until your notary session.
- Who should receive the completed affidavit?
- The form directs requesters to return it to the Department of Licensing and Regulatory Affairs FOIA Office using the email, fax, or mailing details printed on the form.
- Can I use online notarization for this affidavit?
- Michigan law authorizes remote electronic notarization by a commissioned online notary. If you are unsure whether LARA will accept an online-notarized affidavit, confirm with the city, village or township if unsure.