Form Dc 606 PDF Details

In the realm of legal procedures, the ability to navigate financial hurdles is crucial for ensuring access to justice for all. The DC 606 form, a pivotal document within the Virginia legal system, embodies this principle by allowing individuals to apply for a waiver of filing fees in custody or visitation proceedings. This affidavit supports individuals who find themselves in a position where the cost of filing fees may prevent them from seeking justice in court cases related to child custody or visitation rights. It particularly benefits Virginia residents who, due to their financial situation, including those receiving public assistance or having limited income, would otherwise be disadvantaged. By providing detailed financial information, along with expenses and income, the applicant demonstrates their financial state to the court, seeking exemption from the fees that may pose a barrier. This process underscores a commitment to equitable access to legal processes, ensuring that individuals can pursue legal action related to family matters without the burden of cost being an insuperable barrier. With sections dedicated to applicants' assets, income, exceptional expenses, and dependent information, the form comprehensively covers the financial landscape of the applicant, culminating in a declaration that is either acknowledged by a court clerk or a notary public. The final decision — grant or denial of the fee waiver — remains at the discretion of the judge, reflecting on the fairness and necessity of the application.

QuestionAnswer
Form NameForm Dc 606
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesdc606 form dc 606

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AFFIDAVIT IN SUPPORT OF APPLICATION FOR PROCEEDING IN CUSTODY OR VISITATION CASE WITHOUT PAYMENT OF FILING FEES

Commonwealth of Virginia VA. CODE § 16.1-69.48:5

.................................................................................

[] Circuit Court

[] Juvenile and Domestic Relations District Court

IN RE: ..........................................................................................................................................................

The undersigned applicant requests the court to permit the applicant to proceed with a custody or visitation proceeding in this court without the payment of filing fees. In support of this application, the applicant states that the following information is true:

1.The undersigned applicant is a Virginia resident.

2.The following financial information applies to the applicant:

a. Receiving public assistance [ ] No

[ ] Yes-See items checked below

[ ] Medicaid [ ] Supplemental security income

[ ] TANF

[ ] Food stamps

 

 

per [

]

week

[ ]

every second week

b. Take-home pay $

 

 

 

 

 

 

 

[

]

twice a month

[ ]

month

c. Other income, if any (specify sources and amounts):

..........................................................................................................................................................

d. Assets

Cash on hand $

.........................................

Bank accounts $

 

e. Exceptional Expenses (Total Exceptional Expenses of Family)

 

Medical Expenses (List only unusual and continuing expenses)

$

Court-ordered support payments/alimony

 

$

Child Care payments

 

$

Other (Describe on reverse)

 

$

3.Other information

a.The number of people for whom the applicant provides support is: ........................................................

b.The number of persons residing with the applicant is: ...........................................................................

............................................................

_______________________________________________________________

 

DATE

SIGNATURE – APPLICANT

 

.....................................................................................

 

NAME OF APPLICANT

Acknowledged, subscribed and sworn to before me this day:

............................................................____________________________________________________

 

DATE

[ ] CLERK

[ ] DEPUTY CLERK [ ] INTAKE OFFICER

 

 

 

 

 

 

 

 

 

FOR NOTARY PUBLIC’S USE ONLY:

 

 

 

 

 

State of

[ ] City

[ ] County of

 

 

Acknowledged, subscribed and sworn to before me this

day of

, 20

 

...............................................................

 

______________________________________________________

 

NOTARY REGISTRATION NUMBER

 

NOTARY PUBLIC

 

 

 

 

 

(My commission expires:

)

 

 

 

 

 

 

 

 

 

 

 

 

 

ORDER

The request to proceed without payment of filing fees is [ ] granted

[ ] denied.

If this application is denied, the case will not be set for hearing until the applicable fee is paid to the clerk.

............................................................_______________________________________________________________

DATE

JUDGE

FORM DC-606 MASTER 11/07