FW-003, Order on Court Fee Waiver (Superior Court) Instructions

Check this box if the court grants your request and is waiving additional superior court fees and costs listed below.

Check this box if the court is waiving jury fees and related jury expenses.

Check this box if the court is waiving fees paid to a peace officer for testifying in court.

Check this box if the court is waiving fees for a court-appointed interpreter for a witness.

Check this box if the court is waiving fees for experts appointed by the court.

Enter a brief description of any other additional superior court fee(s) you request to be waived that are not listed above (e.g., specific fee name or purpose). Fill only if 'Other (specify)' is 'Yes'.

Check this box if the court is waiving other additional fees not listed above, and specify the fee(s) on the line provided.

Enter your full name as the person requesting the fee waiver.

Enter the case number associated with your fee waiver request.

Enter the court case number exactly as assigned by the court (may include letters, dashes, or numbers).

Enter the full case name (party names) as shown on court documents for this matter.

Check this box when the court is specifically granting a fee waiver and is waiving the listed court fees and costs for the person who asked the court to waive fees.

Check this box when the judge orders that the court grant the fee waiver request (i.e., the court has determined the request should be approved).

Enter the name and address of the court if it is different from the one listed above.

Enter the city where the court is located.

Enter the name of the court clerk handling your case.

Enter the full name of the court and its street mailing address (including county if applicable) as it should appear on the form.

Enter the date relevant to the court order or hearing.

This button allows you to print the form. Ensure all necessary information is filled out before printing.

This button allows you to save the form. Use it to save your progress and avoid losing any entered information.

This button clears all the information entered in the form. Use it if you need to start over or remove all entries.

This button is a reminder to clear the form after printing to protect your privacy. Use it to ensure no personal information is left on the form.

Enter your full legal name exactly as you want it to appear on court documents.

Enter the court-assigned case number exactly as shown on your paperwork, including any letters, numbers, or punctuation.

Enter the date of the hearing related to your fee waiver request.

Enter the time of the hearing related to your fee waiver request.

Enter the room number where the hearing will take place.

Enter the department number where the hearing will take place.

Enter the lawyer’s full name, law firm name, complete mailing address, telephone number, e-mail address, and State Bar number (all details in this single multiline text box). Fill only if 'Applicant's name' has a lawyer.

Enter the full name of the person who asked the court to waive court fees.

Enter the applicant's street address or P.O. box for mailing purposes.

Enter the city for the applicant's street or mailing address.

Enter the state or jurisdiction for the applicant's address.

Enter the ZIP or postal code for the applicant's mailing address.

Enter the date when the request to waive court fees was filed.

Check this box if the court previously issued a fee waiver order in this case (enter the date of that prior fee waiver).

If applicable, enter the date the court previously made a fee waiver order in this case. Fill only if 'The court made a previous fee waiver order in this case (on date)' is 'Yes'.

Check this box when you are requesting the court to waive the standard court filing and processing fees for your case.

Check this box when you are requesting the court to waive any additional court-related fees beyond the standard filing fees (for example, fees for certified copies, service, or other court services).

Check this box when the court is denying the fee waiver request (i.e., when the judge or clerk has determined the fee waiver should be denied and will specify the reason(s) in the items that follow).

Enter the specific items that are incomplete or missing from your fee waiver request, providing enough detail for the court to know what must be added or corrected (you may reference attachments if applicable). Fill only if 'b(1) - Below' Fill only if Below is 'Yes'.

Check this box if you will list the incomplete items for the fee waiver request in the lines provided below on this page. Fill only if 'b. The court denies your fee waiver request because:' Fill only if The court denies your fee waiver request because: is 'Yes'.

Check this box if you are providing the list of incomplete items on a separate Attachment 4b(1) instead of in the space below. Fill only if 'b. The court denies your fee waiver request because:' Fill only if The court denies your fee waiver request because: is 'Yes'.

Check this box to indicate that the clerk’s date of service for this order appears on the next page (and that the 10‑day deadline is calculated from that date). Fill only if 'b. The court denies your fee waiver request because:' Fill only if The court denies your fee waiver request because: is 'Yes'.

Check this box when the court finds the information on the fee waiver request shows the applicant is not eligible for a fee waiver. Fill only if 'b. The court denies your fee waiver request because:' Fill only if The court denies your fee waiver request because: is 'Yes'.

Check this box when the specific reasons the applicant is not eligible are written directly below this line on the form. Fill only if 'b(2) The information shows you are not eligible' Fill only if The information you provided on the request shows that you are not eligible for the fee waiver you requested for the reasons stated: is 'Yes'.

Check this box when the specific reasons the applicant is not eligible are provided on a separate Attachment 4b(2) rather than on the form itself. Fill only if 'b(2) The information shows you are not eligible' Fill only if The information you provided on the request shows that you are not eligible for the fee waiver you requested for the reasons stated: is 'Yes'.

Enter the specific reasons and supporting details why the person named on the request is not eligible for the fee waiver (list facts, missing information, or references to attachments that justify the denial). Fill only if 'b(2) Reasons stated: Below' Fill only if Below is 'Yes'.

Enter the specific questions or eligibility issues the court will consider at the hearing, providing detailed explanations or items you want the court to review (used when you select 'Below'). Fill only if 'c(1) Below' Fill only if Below is 'Yes'.

Check this box when the court is indicating it needs more information and is scheduling a hearing to decide whether to grant your fee waiver request.

Check this box when the specific questions about your eligibility for the hearing are written on the lines below on this page. Fill only if 'c(1) Court needs more information' Fill only if The court needs more information to decide whether to grant your request. You must go to court on the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: is 'Yes'.

Check this box when the specific questions about your eligibility for the hearing are provided on a separate Attachment 4c(1) rather than on this page. Fill only if 'c(1) Court needs more information' Fill only if The court needs more information to decide whether to grant your request. You must go to court on the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: is 'Yes'.

Check this box when the court is requiring you to bring items of proof to support your fee waiver request (if reasonably available). Fill only if 'c(1) Court needs more information' Fill only if The court needs more information to decide whether to grant your request. You must go to court on the date on page 3. The hearing will be about the questions regarding your eligibility that are stated: is 'Yes'.

Check this box when the specific proof items the court wants you to bring are listed directly below this line on the form. Fill only if 'Section c(2) - Bring items of proof to support your request' Fill only if Bring the items of proof to support your request, if reasonably available, that are listed: is 'Yes'.

Check this box when the specific proof items the court wants you to bring are listed on a separate attachment labeled 'Attachment 4c(2)'. Fill only if 'Section c(2) - Bring items of proof to support your request' Fill only if Bring the items of proof to support your request, if reasonably available, that are listed: is 'Yes'.

Enter the items of proof you will bring to support your request for a court fee waiver, listing each document, receipt, or other evidence (one per line) and any brief details needed to identify them. Fill only if 'Section c(2) - Below' Fill only if Below is 'Yes'.

Select this option if service of the document has been completed.

Select this option if service of the document has not been completed.

Enter the date when the document was served or mailed.

Check this box if a certificate of mailing is attached to the document.

Select this option if you are the signer of the document.

Select this option if you are not the signer of the document.