Defendant's Financial Statement on Eligibility for Appointment of Counsel and Reimbursement and Record on Appeal at Public Expense
California · Judicial Council of California · Effective September 1, 2023
This form is used by a defendant in a criminal case to tell the court about their money, income, and spending. It asks the court if the defendant qualifies to have a lawyer paid for by the state, or if they can get a copy of the court record paid for by the public.
The court describes it as: Tells the court that you are eligible to: (1) have an attorney appointed to you because you cannot afford one; (2) be reimbursed for the cost of a court-appointed attorney; or (3) receive a copy of the court reporter's transcript at the public's expense. Use this form to list your assets, income, and expenses for the court to consider in making a decision on this request.
Where this fits in a case
AppealStage: Appeal
This form is used by a defendant in a criminal case to provide financial details to the court when they are asking for help paying for a lawyer or for court records.
Usually filed by the person responding.
Official instructions
How-to guides published by the court for this form.
Common questions
- Who fills out this form?
- The defendant fills out this form. It is titled 'Defendant's Financial Statement.'
- What information does this form ask for?
- It asks for details about the defendant's employment, income, expenses, and assets. It also asks about the defendant's spouse's information.
- Does filing this form cost money?
- The form itself is for the defendant to fill out, and it is used to request services like appointed counsel or records at public expense.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect September 1, 2023.
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