Fee Waiver Application · Step 1 of 5
Parties & Case Info
Person Filing:
Write your full name here. You are the person filling out and filing this form.
Address (if not protected):
Write your street address where you can get mail. Leave blank if your address is protected for safety.
City, State, Zip Code:
Write the city, state, and ZIP code that go with your address above.
Telephone:
Write a phone number where the court can reach you.
Email Address:
Write your email address so the court can contact you electronically.
Self or
Check this box if you are speaking for yourself and do not have a lawyer.
Lawyer for
Check this box only if you are a lawyer filing for someone else.
Lawyer for
If you are a lawyer, write the name of the person you represent here.
Lawyer's Bar Number:
If you are a lawyer, write your State Bar ID number here. Leave blank if you have no lawyer.
IN
Write the name of the court handling your case, such as Superior Court.
COUNTY
Write the Arizona county where your case is filed.
Case Number:
Write the case number the court gave your case. You can find it on your other court papers.
Name of Petitioner/Plaintiff
Write the full name of the person who started the case.
Name of Respondent/Defendant
Write the full name of the other person in the case.
Case Number:
Write the number the court gave your case. Look at papers you already filed or received from the court.
Case Number:
Write the number the court gave your case. You can find it on papers you got from the court.
Case Number:
Write the case number from your court papers. Leave blank if you don't have one yet.
Case Number:
Write the case number for your court case. You can find it on papers the court already gave you.
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