Forms provided here are for reference purposes. To download forms to fill out please visit the
Minnesota Courts website.
Upon review of the verified application for a public defender, the Court finds: |
| The Defendant is: |
| □ Not financially eligible |
| □ Financially eligible because: |
| □ | The defendant, or a dependent of theirs who lives in their household, receives a means tested government benefit. |
| □ | Due to insufficient funds or other assets, the defendant was refused representation by two lawyers on a referral list maintained by the Court. |
| □ | The Court does not maintain a lawyer referral list, but two lawyers in this judicial district refused representation of the defendant due to insufficient funds or other assets. |
| □ | The defendant does not have sufficient income or assets to pay the reasonable costs for defense of their case charged by lawyers in this judicial district. |
Therefore, IT IS ORDERED that defendant's application for a public defender is: |
| □ Approved |
| □ Not approved |
The Court finds that reimbursement is: |
| □ Not required |
| □ Required as follows: _ |
| □ To be determined at a later date |
Date: _ | _ |
| | | District Court Judge |