Documents that MAY be required
to complete your application
Return the missing documents to: Warren County Assigned Counsel
Office Hours are: Warren County Municipal Center
Applications 9-Noon Only 1340 State Route 9
Normal 9:00 a.m. to 5:00 p.m. Lake George, NY 12845
If returning documents by fax you must include/have your name and court date on one page.
Identification is mandatory:
Driver’s license, DMV I.D. card, signed Social Security card, Military I.D., Learner’s Permit, signed
Medicaid Card, Passport, Green Card, Voter Registration Card, any Government issued I.D. card.
Provide proof of your monthly income (for applicant):
4 Pay stubs if paid weekly/2 pay stubs if paid bi-weekly or a statement on letterhead from employer
Provide proof of all your monthly household expenses:
Home Owners Insurance
Telephone (include cell & track phones)
Medical Expenses (for example: Co-Pays)
Loans (includes student, personal and private loans)
Other (for example: Child Support, Storage Unit, Computers, Rented Appliances or Furniture, etc.)
Provide any and all documents given to you or served upon you by the Court or the Officer:
Charges, Complaints, Summonses, Tickets, Supporting Depositions, Statements, Petitions
Applicant agrees to immediately notify the Assigned Counsel Office
of any change in financial circumstances for the duration of the case.