JDF 203 R0 2 /1 8 CERTIFICATION OF DETERMINATION OF INDIGENCY County Court District Court Denver Juvenile Court Denver Probate Court County, Colorado Court Address: Plaintiff/Petitioner: v. Defendant/Respondent/Co - Petitioner : COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom CERTIFICATION OF DETERMINATION OF INDIGENCY I, , (name of authorized person to sign for Legal Service Provider) have determined under the provision of CJD 98 - 01, as amended February 2018 that (name of client to be represente d) is indigent based on: a review of his/her application under the Legal Services Corporation Act of 1974. or 205). I understand that JDF 205 shall be m aintained for three years following conclusion of the case or representation of the client, whichever is the later date, for which waiver of courts costs is obtained under CJD 98 - reco rds, and such request may not be refused. Based on that determination, the above - name party is eligible to have the filing fee, jury fee, if applicable, reasonable copy fees, E - file and E - service fees, and research fees waived as they relate to this c ase, pursuant to CJD 98 - 01, as amended August 2008, without additional findings or orders of the Court. If the Court delivers the documents for service of process to the Sheriff, the Court can . Date: Signature of Attorney filing this form with the Court Signature and Name of Legal Services Provider Certif ying Indigency Determination American LegalNet, Inc. www.FormsWorkFlow.com