Subject: Application for the reduction or waiver of a client fee (Act on
Client Charges, section 11)

I apply for the reduction or waiver of the following client fees: [INVOICE
NUMBERS, DATES AND AMOUNTS].

Collecting these fees endangers my means of support. My financial
situation: income [SUM]/month ([WHAT IT CONSISTS OF]), essential expenses
[SUM]/month (rent [SUM], other [BREAKDOWN]). [ALSO MENTION: enforcement,
debt restructuring, social assistance, if applicable.]

Supporting documents are attached. I request a written, reasoned decision
with appeal instructions. I also request that the collection of the fees be
suspended while the application is processed.

[DATE]
[FIRST NAME LAST NAME, PERSONAL IDENTITY CODE, ADDRESS]