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Court Payment Plan Forms

Application for Criminal Indigent Status
This form is used to determine if persons qualify for the services of the Public Defender in criminal cases. There is a $50.00 application fee for each form completed and reviewed. This form may be downloaded from Florida Clerks of Courts Operation.
Application for Determination of Civil Indigent Status
This form is used to determine if persons qualify to have the filing fee waived on a civil case or to enter into a payment contract for costs incurred on a civil case. This form may be downloaded from the Florida Supreme Court website or the Florida Clerk of Courts Operation website.
Payment Contract (81 KB)
This form is used to set up a payment plan for fines/costs in felony, misdemeanor, criminal traffic, and civil traffic cases. There is a $25.00 administrative fee for each contract signed. All late fees and clearance fees must be paid before a payment agreement can be signed on a civil traffic citation.
Payment Contract for Restitution (17 KB)
This form is used to set up a payment plan for court-ordered restitution in felony, misdemeanor, and criminal traffic cases. There is a $3.50 administrative fee for each restitution payment made.
Civil Payment Contract (17 KB)
This form is used to set up a payment plan for any costs or service charges incurred on a civil case. There is a $25.00 administrative fee for each contract signed.
Blank Partial Payment Coupon (17 KB)
These coupons can be used to mail in payments or to make payments in person for anyone enrolled in the Clerk's Office payment plan.