Somerdale, MT · Camden County
Financial Questionnaire to Establish Indigency
This bilingual financial questionnaire is completed by defendants or their parents or guardians to request indigent defense services or installment payments of fines and penalties.
What this form is
The questionnaire asks for personal, employment, income, asset, expense, liability, and attorney information to help establish financial status. Applicants select whether they are seeking indigent defense services or installment payments of fines or penalties; the form notes that an application fee may apply for indigent defense services. It also includes authorization and certification sections for the applicant to sign and date.
Who needs it
Defendants, or a parent or guardian for a defendant under 18 or incompetent, complete the form to request the listed court services.
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; the signer signs and dates the authorization and certification sections.
How to submit this form
- 1
Download The Form
Download the Financial Questionnaire to Establish Indigency PDF.
- 2
Complete The Questionnaire
Select the service you are requesting and complete the applicable personal, employment, income, asset, and expense sections.
- 3
Sign And Date
Sign and date the authorization and certification sections.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Financial Questionnaire to Establish Indigency?
- No. The form has signature and date lines but no notary block; the signer signs and dates the authorization and certification sections.
- Who completes this financial questionnaire?
- The defendant completes it, or a parent or guardian may apply if the defendant is under 18 or incompetent.
- What can I request with this form?
- The form allows an application for indigent defense services or installment payment of fines or penalties. It notes that an application fee may apply for indigent defense services.
- How do I submit the Financial Questionnaire to Somerdale?
- The document does not provide submission instructions. Submit it to the city department named on the form; check the city website for current contact details.