Petition To Appeal As An Indigent Person

PETITION TO APPEAL AS AN INDIGENT PERSON. This form is used to ask the North Carolina Industrial Commission for permission to appeal a case without paying filing or court costs due to financial hardship. The form requires the applicant to submit a sworn affidavit explaining their inability to advance required costs. Applicants may qualify based on receipt of public assistance benefits, representation by a legal services organization, incarceration status, or documented income and expenses demonstrating financial need. The form also includes a section for Commission review and an order granting or denying indigent status, with additional screening for inmate-filed claims under state law. Completed affidavits must be notarized and submitted to the Industrial Commission by email or mail for consideration. www.FormsWorkflow.com