Thank you for your interest in Thurston County's Legal Financial Obligation (LFO) Reconsideration Day on August 15, 2022. You must register by July 8, 2022 to be considered for LFO relief. We are asking for information that will help our attorneys prepare your case for the day of the event. If you have any questions, please contact us at LFOevent@co.thurston.wa.us. 

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* 1. Do you have criminal convictions in Thurston County where you owe fines or fees?

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* 2. Please enter your contact information

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* 3. What is your Date of Birth?

Date

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* 4. The event is August 15, 2022. Would you like to appear virtually, or in-person at the Thurston County Courthouse?

NOTE: At this time we are running low on virtual appointments. If you select virtual, we may not be able to give you your preferred appointment time, or you may be asked to appear in person. 

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* 5. Please select the timeslots that would work for you. We will reach out with you appointment time at least 1 week prior to the event. You will be assigned an appointment time whether you are in-person or virtual.

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* 6. Are you currently experiencing homelessness?

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* 7. Are you receiving one of the following types of public assistance? Please select all that apply.

Please note that we will be confirming your benefit status with DSHS. There is no need to bring proof of benefits to the event.

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* 8. Do you have a household income at or below 125% of the federal poverty guidelines? Please see the guidance below.

1 person in household: $16,990
2 people: $22,890
3 people: $28,790
4 people: $34,690
5 people: $40,590
6 people: $46,490
7 people: $52,390
8 people: $58,290

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* 9. Is your household income above 125% of the federal poverty line, but your basic living expenses that make you unable to pay your LFOs?

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* 10. If you are 125% or more above the federal poverty line but are unable to pay your LFOs, please explain why. 

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* 11. Which court do you believe you have fines with? Please check all that apply.

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* 12. By typing in my name below, I declare under penalty of perjury under the laws of the state of Washington that the information I have provided on this form is true and correct. I authorize an attorney to add my signature to a sworn statement that the information I have provided on this form is correct. I would like an attorney to request LFO relief on my behalf.

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