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Application for Waiver of Criminal Court Assessments

Illinois · Illinois Supreme Court · Effective October 1, 2025

This form is used to ask a judge to waive (cancel) the court assessments you might owe in a criminal court case. It asks for basic information, details about your household, and information about your income, expenses, and property.

Open the official PDFfrom Illinois Supreme Court

Where this fits in a case

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Stage: Start a case

This form is used in a criminal court case when a person cannot afford to pay the required court assessments. It must be filed no later than 30 days after the sentencing date.

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 it out for yourself or on behalf of a minor or an incompetent adult.
What happens if I check a public benefit box?
If you check a public benefit box in section 3, you skip sections 4 and 5 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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