• Financial Affidavit

  • State of Michigan - 35th District Court

    Petition for Court Appointed Attorney (CAA)
  • To request a Court Appointed Attorney (CAA) you must complete this entire form. All information must be provided by the defendant and must be current, accurate and true. Be advised, intentionally or knowingly giving false information may result in your prosecution for the offense of perjury. 

    Based upon the Federal Poverty Guidelines, as determined by the Department of Health and Human Services (DHHS), if the Court determines that you can afford an attorney, the Court is entitled to deny your request for a CAA, or you may be ordered to pay the Court back a portion of the attorney fees as determined by the DHHS guidelines. Any payment you may be required to make under the guidelines shall only be ordered if you are convicted and/or take a plea to an offense.

  • Employment and Income

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  • Assets

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  • I have been advised of my right to representation by counsel to defend me as to the charge(s) pending against me. I am without means to employ counsel of my own choosing, and hereby request the Court to appoint counsel to me. By signing my name below, I swear that all of the above information about my financial condition is current, accurate and true to the best of my information, knowledge and belief. I further understand and have been advised that based upon the Federal Poverty Guidelines determined by the Department of Health and Human Services, and published for review upon the Court’s website, if the Court determines that I can afford an attorney, the Court is entitled to deny my request for a Court Appointed Attorney, or I may be ordered to pay the Court back a portion of the attorney fees as determined by the guidelines. I have been informed that any payment I may be required to make under the guidelines shall only be ordered if I am convicted and/or take a plea to an offense.

  • Clear
  • By clicking on submit, you confirm that the information given in this form is true, complete and accurate. A copy of your completed forms will be sent to 35th District Court.  In addition, you will receive a confirmation email which includes a copy of your completed forms.

    If you have any questions, call the Court at 734-459-4740.

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