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9 verbatim requirements from 4th Circuit Administrative Order 1995-05.
Fourth Judicial Circuit (Duval, Clay, Nassau). Administrative orders change without notice; the circuit's own order controls. Procedural information only; not legal advice.
Verbatim from the order, captured live 2026-08-03 from the Duval Clerk's store; whitespace normalised only. • Upon such request by the party or intervenor, the Clerk shall issue to the applicant a certification § of indigency in order for the case to proceed. • The Clerk shall stamp, or otherwise indicate, on the Court case file that a person ig involved with the case is seeking indigent status. • The Clerk shall provide to the applicant, an Affidavit of Indigency form and a |y Law Financial Affidavit (Short Form) that must be completed and signed by the applicant, and filed with the Clerk at the time of the initial filing. • Within seven (7) days alier the filing of applicant’s case, the Clerk shall forward the applicant’s request for certification of indigency, and supporting documentation, to the assigned Judge for consideration, if it appears the applicant’s income is 25% above the current federal poverty standards. • 9. lf a hearing on the issue is not required, the Judge shall make a determination as to :1 whether the applicant’s request for indigency status should be granted, based on the financial In affidavit and the other documentation submitted by applicant. • Within seven (7) days of service of the revocation Order, applicant ig shall pay to the Clerk any charges that had been deferred at the time of applicant’s initial filing. lf the appropriate charges are not paid to the Clerk by the applicant in a timely manner, the applicant’s cause shall be automatically dismissed without prejudice. • The terms hereof shall not apply to parties or intervenor who are represented by legal counsel, provided said counsel files a certificate as required by Section 57.081, Florida Statutes (2000). ll. • This Administrative Order does not apply to cases filed in Circuit Court pursuant to Section 741.30 and Section 784.046, Florida Statutes (2000), pertaining to matters of domestic violence. l2. lf an applicant prevails in an action, costs shall be taxed in his/her favor, as provided by law, and when collected, shall be used to pay costs which otherwise would have been required and which have not been paid. • O Ch Ch gg NOTARY PUBLIC or DEPUTY CLERK O N [Print, type, or stamp cormnissioned name of notary or clerk.] Personally known Produced identification Type of identification produced IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [ mn fill in all blanks] I, {full legal name and trade name afnonlawyer} , a nonlawyer, located at {stree§ , {city} , {state} , Qahone} ,helped {name} , who is the [ J- one only] __ peiitioner 0r _ respondent, fill out this fonsn.
Upon such request by the party or intervenor, the Clerk shall issue to the applicant a certification § of indigency in order for the case to proceed.
Reviewer note: Composed from the clerk's own bytes during the 4th's ledger close 2026-08-03 (sha256 78726ea8b3135f14…).
2 verbatim requirements from 4th Circuit Administrative Order 1986-33A.
1 verbatim requirement from 4th Circuit Administrative Order 1987-09.