Home > Indigent Services > Payment Reminder Request Form Payment Reminder Request Form IMPORTANT INFORMATION ABOUT COVID-19 Please see the Ada County COVID-19 information page for updates on closures and cancellations in relation to COVID-19. Payment Reminder Request VOLUNTARY INDIGENT SERVICES PAYMENT REMINDER CONSENT & NOTIFICATION FORM Ada County Indigent Services offers a voluntary program to remind you about upcoming payment obligations to the Indigent Services’ Program by text or email. This convenience is intended to help you remember your payment due date. Failure to receive this optional reminder, for any reason, does not excuse you from missing your ordered payment date. Reminder Type* Text Reminder I request to receive text message reminders for upcoming payment dates at the following wireless phone number and acknowledge that standard text message rates may apply: Email Reminder I request to receive email message reminders for upcoming payment dates at the following email address: Phone*Email* I understand that I may withdraw my request at any time by providing notice to the Ada County Indigent Services’ Office. It may take up to seven days to process my withdrawal. I agree that participation does not create any liability or responsibility on the part of the Ada County Clerk’s Office, Ada County or any of its departments to provide any notification to me regarding my ordered payment due dates. I have read, understand, and agree to the notice provided above and consent to the notifications by checking the appropriate box. Initial if you agree ---->Initials* Your Name* Client ID*CAPTCHA