Petition For Waiver Of Fees And Costs Affidavit Of Indigency{CV-410A}

CV-410A - PETITION FOR WAIVER OF FEES AND COSTS – AFFIDAVIT OF INDIGENCY. This is a Wisconsin Circuit Court form used by individuals who are unable to pay court filing and service fees due to financial hardship,. The form allows petitioners to request a waiver of fees in any court action, proceeding, or appeal. Applicants can qualify by demonstrating participation in public assistance programs such as SSI, FoodShare, Medicaid, or veterans’ benefits, or by providing a full disclosure of income, assets, debts, and household expenses to establish indigency. The form includes two main sections: one for those currently receiving needs-based assistance and another for individuals required to provide detailed financial information. Petitioners must sign under penalty of false swearing, affirming the truth and accuracy of all information provided. §814.29, Wisconsin Statutes. www.FormsWorkflow.com