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Application for Waiver of Criminal and/or Traffic Court Assessments for Use in Cook County Only

Illinois · Illinois Supreme Court · Effective October 1, 2025

This form is used to ask a judge to waive court assessments in a criminal or traffic court case in Cook County. It asks for basic personal details, information about household support, public benefits received, and financial details like income and expenses.

Open the official PDFfrom Illinois Supreme Court

Where this fits in a case

Start a case

Stage: Start a case

This form is used when someone needs to ask the judge to waive the fees or assessments related to a criminal or traffic court case in Cook County.

Either party may file.

Official instructions

How-to guides published by the court for this form.

Common questions

Who should fill out this form?
You can fill this out for yourself or on behalf of a minor or an incompetent adult.
What happens if I receive public benefits?
If you check a public benefit box in Section 3, you skip the financial sections and go to Section 6 on page 4.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect October 1, 2025.

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