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The CJA Form 23 is not a required statutory form. It is an administrative tool used to assist the court in appointing counsel.CJA 22, Statement of Parolee or Mandatory Releasee Concerning Appointment of Counsel Under the Criminal Justice Act, CJA Forms. The Form CJA 23 is a financial affidavit. CJA 23 (Rev. CJA Form 23 is a form financial affidavit developed as a tool to aid courts in determining whether a particular defendant is able to afford counsel. CJA 23 (Financial Affidavit) or seek to obtain information from a person requesting the appointment of counsel concerning the person's eligibility. Plaintiff submitted another partiallycompleted financial affidavit CJA. The person requesting court-appointed counsel should provide to the court an estimation of their total assets, to be recorded onto the financial statement form. Selected legal principles pertinent to appointment of counsel.