Do I need a notary for the Application to Waive Court Costs, Fees, and Expenses?

No. The applicant signs the form under penalties of perjury; no notary block is included. The form says to contact the court about any financial documents or service requirements.

How do I submit the court costs waiver application?

Contact the court before filing to ask whether financial documents or service are required. If you already filed specified case papers, serve the application with a Notice of Motion and file an Affirmation of Service with the court.

What information does the application ask for?

It asks about your income, assets, expenses, dependents, case facts, and any prior application to waive court costs, fees, and expenses.

What can I ask the court to waive?

You can ask to waive all court costs, fees, and expenses for the case, the court filing fee for a Notice of Appeal, or another expense you specify.

Broome County, NY · Broome County

No notary required

Application to Waive Court Costs, Fees, and Expenses

This application asks a court to waive court costs, fees, or expenses for a person who says they cannot afford them.

At a glance

Issued by: City of Broome County · Broome County, Broome County, New York
Notarization: Not required: file this form without a notary.
Official source: broomecountyny.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

An applicant uses this form to ask a court to waive all costs, fees, and expenses in a case, a filing fee for a Notice of Appeal, or another specified expense. It asks about the applicant’s income, assets, monthly expenses, dependents, case facts, and prior waiver applications. If certain case papers have already been filed, the form gives instructions for serving the application and filing proof of service.

Who needs it

A party in a court case who is not represented by a lawyer and says they cannot afford the costs, fees, and expenses needed to defend their rights may use this application.

How to submit it

Before filing, contact the court to ask whether financial documents or service on another party are required. If you have already filed specified case papers, serve this application with a Notice of Motion and file an Affirmation of Service with the court.

About notarization

This document is signed without a notary; the applicant affirms its truth under penalties of perjury, then signs and prints their name.

How to submit this form

1
Download the Application
Download the Application to Waive Court Costs, Fees, and Expenses.
2
Complete the Application
Provide the requested information about your case, finances, dependents, and the costs or fees you want waived.
3
Gather Any Required Attachments
If you explain your case in attached papers, include your complaint, petition, answer, or affidavit of facts. Contact the court about financial documents.
4
Serve and File as Required
Contact the court about service requirements. If you already filed specified case papers, serve this application with a Notice of Motion and file an Affirmation of Service with the court.

Frequently asked questions

Do I need a notary for the Application to Waive Court Costs, Fees, and Expenses?: No. The applicant signs the form under penalties of perjury; no notary block is included. The form says to contact the court about any financial documents or service requirements.
How do I submit the court costs waiver application?: Contact the court before filing to ask whether financial documents or service are required. If you already filed specified case papers, serve the application with a Notice of Motion and file an Affirmation of Service with the court.
What information does the application ask for?: It asks about your income, assets, expenses, dependents, case facts, and any prior application to waive court costs, fees, and expenses.
What can I ask the court to waive?: You can ask to waive all court costs, fees, and expenses for the case, the court filing fee for a Notice of Appeal, or another expense you specify.

Need something notarized?

This Application to Waive Court Costs, Fees, and Expenses doesn’t need a notary, but if you have another Broome County form that does, a commissioned online notary can help.