Melvindale, MI · Wayne County
FOIA Affidavit of Indigency
This sworn affidavit is for individuals requesting Melvindale public records who seek a waiver of the first $20 in FOIA fees because they receive public assistance or cannot pay due to indigency.
- 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
Submit this affidavit with a Freedom of Information Act request when asking Melvindale to waive the first $20 of fees for a public-record search and copy. The form asks for your contact details and the reason for your request: current public assistance or facts showing inability to pay due to indigency. Send the completed affidavit to the City Clerk using the contact information on the form.
Who needs it
An individual requesting public records from Melvindale who seeks the first $20 fee waiver based on public assistance or inability to pay due to indigency should submit this affidavit.
How to get this notarized
- 1
Download the Affidavit
Get the FOIA Affidavit of Indigency from Melvindale.
- 2
Fill In Your Details
Provide your request date, contact information, and reason for seeking the first $20 fee waiver.
- 3
Book an Online Notary
Arrange a remote notarization with a commissioned online notary.
- 4
Sign on Video
Sign the affidavit before the notary during your video session.
- 5
Submit to the City
Send the completed affidavit to the Melvindale City Clerk using the contact information on the form.
Preview the form
The blank PDF straight from Melvindale. 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 submit the affidavit?
- Complete and swear to the affidavit before a notary, then submit it to the Melvindale City Clerk by the contact method listed on the form.
- Do I need to explain why I cannot pay?
- Yes, if you are claiming indigency, the form asks you to state facts showing inability to pay. Alternatively, you may identify the public assistance you receive.
- Can I notarize this affidavit online?
- Michigan authorizes its notaries to perform remote electronic notarizations. A commissioned online notary can witness and notarize this sworn affidavit by video.
- What if I am unsure whether the City will accept my affidavit?
- The form directs you to submit the affidavit to the City Clerk. For questions about your specific request or submission, confirm with the city, village or township if unsure.
Other forms in Melvindale
FOIA Affidavit of Indigency in other Michigan cities
Each city publishes its own version of this form. Pick the city where you’re filing.