Lynnwood, WA · Snohomish County
Confidential Indigency Screening Form (Russian)
This Russian-language form helps Lynnwood Municipal Court assess a defendant’s financial eligibility for a public defender or related court costs.
What this form is
The form collects information about a person’s household, income, public benefits, property, savings, and living expenses so the court can assess indigency and public-defender eligibility. The signer confirms the information under penalty of perjury and agrees to report changes in financial circumstances. The form includes a section reserved for court use to record the eligibility determination.
Who needs it
A defendant seeking a public defender or an indigency determination from Lynnwood Municipal Court can use this Russian-language form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
The form is signed and dated without a notary; it includes a statement affirmed under penalty of perjury, but does not call for notarization.
How to submit this form
- 1
Download The Form
Download the Russian-language Confidential Indigency Screening Form.
- 2
Complete The Form
Provide the requested information about your household, income, benefits, property, savings, and expenses.
- 3
Review And Sign
Read the declaration, then sign and date the form. The form does not call for notarization.
- 4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.
Frequently asked questions
- What is the Confidential Indigency Screening Form?
- It asks about a defendant’s household, income, benefits, assets, and expenses so Lynnwood Municipal Court can assess indigency and public-defender eligibility.
- Who uses this Russian-language form?
- A defendant seeking a public defender or an indigency determination from Lynnwood Municipal Court can complete this Russian-language form.
- Do I need a notary for the Confidential Indigency Screening Form?
- No. The form is signed and dated without a notary. It includes a statement affirmed under penalty of perjury, but does not call for notarization.
- How do I submit the Confidential Indigency Screening Form?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Confidential Indigency Screening Form (Russian) doesn’t need a notary — but if you have another Lynnwood form that does, a commissioned online notary can help.