Applying for a Public Defender (Domestics Division)

  • Applying for a Public Defender (Domestics Division)

    Delaware County, Pennsylvania

  • Every question must be answered or your application will not be accepted.
    The Public Defender’s Office may request proof of any/all answers.

  • Case & Client Information

    Provide information regarding your case and yourself.
  • Hearing Type*
  • Hearing Date*
     - -
  • Date of Birth*
     - -
  • Format: (000) 000-0000.

  • Employment & Assets

    Detail your employment, income and asset information.
  • Are you currently employed?*
  • Do you receive any form of benefits? (Unemployment, Food Stamps, etc.)*
  • Do you receive unemployment?*
  • Do you receive social security?*
  • Do you receive cash assistance?*
  • Do you receive food stamps?*
  • Do you receive medical assistance?*
  • Do you own or rent?*
  • Do you own a car?*

  • Monthly Bills

    How much do you spend on the following:

  • For PFA Contempt Cases Only

    Please complete the following specific questions.
  • PFA Order Issue Date*
     - -
  • Do you have criminal charges for this contempt?*
  • If yes, when is your preliminary hearing date?*
     - -

  • For Child Support Contempt Cases Only

    Please complete the following specific questions.
  • Date of Last Payment*
     - -

  • Affidavit

    Read the affidavit carefully and sign below.
  • I understand the Public Defender provides free legal assistance to people who cannot afford an attorney with criminal charges against them in Delaware County.*
  • I affirm that I cannot afford to hire an attorney to represent me in my criminal case.*
  • Clear
  • Should be Empty: