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Motion and Declaration for Waiver of Filing Fees and Surcharges – Harassment

Washington · Washington State Courts · Effective January 1, 2023

This form is a request to the court asking for the judge to waive all filing fees and extra charges related to a harassment protection order. It requires the person filing to state that they cannot afford the fees and provide a financial statement.

Open the official PDFfrom Washington State Courts

Where this fits in a case

Motions

Stage: Motions

This form is used when a person needs to file for an anti-harassment protection order but cannot afford the required court filing fees.

Usually filed by the person starting the case.

Common questions

What is this form for?
This form is a 'Motion and Declaration' used to ask the court to waive filing fees and surcharges for a harassment protection order case.
Who should fill out this form?
The petitioner, who is the person starting the case, fills out this form.
Does filing this form cost money?
The form is used to ask the court to waive the fees, which means the person filing claims they cannot afford to pay the costs.

Revision history

No changes recorded since we started tracking this form on October 9, 2026. The current version took effect January 1, 2023.

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