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View Entire Chapter. 57. 082 Determination of civil indigent status.Complete the financial affidavit (PDF) in full and accurately. Note - For current indigency screening income guidelines, please visit the Washington State Office of Public Defense. Form. Title. Download. Revised. Marginally indigent defendants may pay some amount toward the cost of their appointed counsel or public defender. Petitioner submits the following financial affidavit of indigency. 1. I have ______ dependents. Initially, the hearing is set to determine petitioner's status as an indigent. Section I. Personal Information.