I have a disability that prevents me from filling out this form. Would you fill it out for me?

We can read you exactly what the form says and fill in the blanks with exactly the words you give us. We cannot help you understand what the form means or advise you on what to put in the blanks or what words to use. (If court personnel filled out the form for the customer, please state on the form that you helped them by writing their words on the form exactly as they said them to you.)