Financial Disclosure Affidavit Of Indigency {OPD-206R}

FINANCIAL DISCLOSURE FORM. This form is used by individuals who are seeking court-appointed legal counsel due to financial hardship. The purpose of the form is to determine whether the applicant qualifies as indigent under Ohio law and is therefore eligible to receive legal representation at the state’s expense. The applicant provides detailed personal and financial information, including income, assets, household members, monthly expenses, and any public benefits they receive. This information helps the court assess the applicant’s financial status against federal poverty guidelines. If the applicant’s income and assets fall below certain thresholds, they are presumed eligible for a court-appointed attorney. The form also outlines a potential $25.00 application fee and includes a certification section where the applicant attests to the truth of the information provided, with a warning about penalties for false statements. The form contains sections for court officials to confirm eligibility and for recoupment notices, which explain that individuals who are able to contribute to their legal costs may be required to do so. www.FormsWorkflow.com