IN THE CIRCUIT COURT FOR THE SIXTH JUDICIAL CIRCUIT
IN AND FOR
ADMINISTRATIVE ORDER
NO
RE: INDIGENT STATUS
Effective
Furthermore,
section 27
On
Therefore, in order to provide notice to litigants and to provide a process for challenging the Clerk of Court’s denial of indigent status where applicable, it is
ORDERED:
1. Where a designation of indigent status is sought pursuant to section 27.52, Florida Statutes, for the appointment of a public defender, the Clerk of Court shall attach to the Application for Criminal Indigent Status the disclosure required by Rules Regulating the Florida Bar 10-2.1(a). Further, in cases where indigent status is denied, the Clerk of Court shall attach to the application the “Request for Court Review of Clerk’s Determination of Non-Indigence for Appointment of Public Defender,” attached hereto as “Exhibit A.”
2. Where a designation of indigent status is sought pursuant to section 57.082, Florida Statutes, the Clerk of Court shall attach to the Application for Determination of Civil Indigent Status the disclosure required by Rules Regulating the Florida Bar 10-2.1(a). Further, in cases where indigent status is denied, the Clerk of Court shall attach to the application the “Petition for Court Review of Clerk’s Determination of Non-Indigence for Appointment of Counsel and Relief From Prepayment of Costs for Civil Litigants,” attached hereto as “Exhibit B.”
3
Also, in the event that the Court finds the applicant indigent for costs,
the Clerk shall provide a copy of the Court’s order to the applicant or his or
her attorney for use in requesting payment of due process expenses through the
Justice Administration Commission
4. When the Clerk of Court in
When the Clerk of Court in
When the Clerk of Court in
When the Clerk of Court in Pinellas County receives a request for review of the denial of indigent status in a traffic case filed at the North or South County Traffic Court, the Clerk shall provide the request with the supporting affidavit to the presiding judge in the North or South County Traffic Court.
5. When the Clerk of Court in
Administrative Order 2004-046 PA/PI-CIR is hereby rescinded.
DONE AND ORDERED in Chambers at
______________________________ David
A
cc: All
Judges
The
Honorable
The
Honorable Robert H
The
Honorable
The
Honorable
Carol
Heath,
Betty
Henderson, Assistant Court Services
Gay L
Kerry L
Bar Associations,
Law Libraries,
“Exhibit A”
In the Circuit/County Court, Sixth
Judicial Circuit
in and for Pasco/Pinellas County,
Criminal Division
State of
UCN: ________________________
vs
______________________
Defendant
SPN:
Request for Court Review of Clerk’s Determination
of Non-Indigence for Appointment of Public Defender
1
______ You own,
have equity, or have the expectancy of an interest in personal
or real property with a net
equity value of at least $2,500, excluding
your homestead and one vehicle
not exceeding $5,000 in value
______ Your
income exceeds 200% of the federal poverty guidelines
______ Other
_______________________________________________
2
______ I hereby request review by the Court of the
denial of indigent status at
my
next scheduled hearing
______ I hereby request review by the Court of the
denial of indigent status
prior to my next scheduled hearing because I need services
prior to the
next scheduled hearing or because no hearing is scheduled
Reason for requesting Court
review:
______ I am unable to pay for the services of an
attorney without substantial
hardship to my family
because_______________________________
_______________________________________________________
______ Explain other reasons:
______________________________________
_________________________________________________________
_________________________________________________________
Please mark one:
I
____have ____ have not been released on bail in the amount
of $5,000 or more
I
____have ____ have not had a bond posted
Under penalties of perjury, I
declare that the facts stated above are true
________________________________
Defendant
PRINT Full Legal Name:___________________
Address:________________________________
Driver’s License # or ID #__________________
Date of Birth:____________________________
Telephone:______________________________
If a
clerk or deputy clerk helped you fill out this form, he or she must fill out
the blank below
This form
was completed with the assistance of___________________________, Clerk/Deputy
Clerk
If another nonlawyer helped you
fill out this form he/she must fill in the blanks below:
I(
full legal name and trade name of nonlawyer)___________________________
a nonlawyer, located at
(street)______________________________________________
(city)____________________ (state)________ (phone)__________________________ helped ______________________________ fill
out this form
COURT’S
FINAL DETERMINATION OF INDIGENT STATUS
______ Defendant is
indigent _______ Defendant is not indigent
Appoint Public Defender Withdraw Public Defender
Date: __________________ _____________________________ Judge
“Exhibit B”
In the Circuit/County Court, Sixth
Judicial Circuit
in and for Pasco/Pinellas County,
Civil Division
______________________
______________________ Ref
Plaintiff UCN: _____________________
vs
_____________________
_____________________
Defendant
Petition for Court Review of Clerk’s Determination of
Non-Indigence for Appointment of Counsel and Relief
From Prepayment of Costs
for Civil Litigants
1
______ You own,
have equity, or have the expectancy of an interest in personal
or real property with a net equity value of at least
$2,500, excluding your homestead and one vehicle not exceeding $5,000 in value
______ Your
income exceeds 200% of the federal poverty guidelines
______ Other
_______________________________________________
2
______ I hereby
request review by the Court of the denial of indigent status
Reason for requesting Court
review:
______ I am unable to pay for the services of an
attorney or other fees and
costs without
substantial hardship to my family because__________
_______________________________________________________
_______________________________________________________ _______________________________________________________
______ Explain other reasons:
_____________________________________
________________________________________________________
3
the signature line)
When did you retain private counsel? ______
Is private counsel representing you for
free? Yes ___(if yes, skip to signature
line)
No
_______
What is the amount of attorney’s fees and
who is paying them? _________________
___________________________________________________________________
Under penalties of perjury, I
declare that the facts stated above are true
________________________________
Applicant
PRINT
Full Legal Name: ____________________
Address:
__________________________________
Driver’s
License # __________________________
Date
of Birth:______________________________
Telephone:
________________________________
If a
clerk or deputy clerk helped you fill out this form, he or she must fill out
the blank below
This form
was completed with the assistance of___________________________, Clerk/Deputy
Clerk
If another nonlawyer helped you
fill out this form he/she must fill in the blanks below:
I(
full legal name and trade name of nonlawyer)___________________________
a nonlawyer, located at
(street)______________________________________________
(city)____________________ (state)________ (phone)__________________________ helped ______________________________ fill
out this form
COURT’S
FINAL DETERMINATION OF INDIGENT STATUS
_____ Applicant is
indigent _____
Applicant is not indigent
_____ Appoint Counsel
_____ Waive Prepayment of Fees and Costs
Date: __________________ _____________________________ Judge
“Exhibit C”
In the Circuit/County Court, Sixth
Judicial Circuit
in and for Pasco/Pinellas County,
Criminal Division
State of
Ref No: __________________________
vs
_______________________
Defendant
SPN:
Motion to be
Determined Indigent for Costs Pursuant to
section 27
1
a
b
2
If yes, the outcome of
that application was _________________________
___________________________________________________________
3
4
If yes, this is the
amount of fees and who is paying such fees
5
____ Yes
_____ No
6
If yes, this is the type of bond
and who paid it:
____________________________________________________________
7.
Paying for due process services will create a substantial hardship
on me
and/or my family because
___________________________________________________________ ___________________________________________________________
________________________________
Defendant
PRINT
Full Legal Name: ____________________
Address:
__________________________________
Driver’s
License # or ID # ____________________
Date
of Birth: ______________________________
Telephone:
________________________________
If a
clerk or deputy clerk helped you fill out this form, he or she must fill out
the blank below
This form
was completed with the assistance of___________________________, Clerk/Deputy
Clerk
If
another nonlawyer helped you fill out this form he/she must fill in the blanks
below:
I( full legal name and trade name of
nonlawyer)__________________________
a nonlawyer, located at
(street)______________________________________________
(city)____________________ (state)________ (phone)__________________________ helped ______________________________ fill
out this form
COURT’S FINAL
DETERMINATION OF INDIGENT STATUS FOR COSTS
_____ Defendant is Indigent _____ Defendant
is Not Indigent
Date:
__________________ __________________________
Judge