Coppell, TX · Dallas County
Indigence Form
Defendants use this form to provide financial and household information for an indigence eligibility determination related to a citation.
What this form is
The Indigence Form collects a defendant’s identifying and citation details, household information, income, necessary expenses, assets, and contacts for two friends or family members. It includes a section for an eligibility determination and a statement that the information is true and correct and that changes will be reported to the court. The form does not state when the city requires it or provide submission instructions.
Who needs it
A defendant completing an indigence eligibility assessment related to a citation can use this form to report financial and household details.
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 has no notary block; the defendant signs and dates the form beneath a statement swearing the information is true and correct.
How to submit this form
- 1
Download The Form
Download the Coppell Indigence Form PDF.
- 2
Complete The Form
Enter the requested defendant, citation, household, income, expense, asset, and contact details.
- 3
Review And Sign
Review the information and sign and date the statement that it is true and correct.
- 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 information does the Coppell Indigence Form ask for?
- It asks for defendant and citation details, household members, income, living expenses, assets, and contact information for two friends or family members.
- Who uses the Indigence Form?
- A defendant completing an indigence eligibility assessment related to a citation can use the form to provide financial and household information.
- Do I need a notary for the Indigence Form?
- No. The form has no notary block; the defendant signs and dates it beneath a statement swearing the information is true and correct.
- How do I submit the Indigence Form?
- The form does not list submission instructions. Submit it to the city department named on the form and check the city website for current contact details.