The New York Supplement to Official Form 103B, Application to have the Chapter 7 Filing Fee Waived, is a form that is used by individuals who are filing for bankruptcy in New York State and are not able to pay the filing fee. This form is used to request a waiver of the Chapter 7 filing fee and must be completed in addition to the official bankruptcy forms. The New York Supplement to Official Form 103B includes questions regarding the individual's income, assets, and expenses, to determine if the individual is eligible for a fee waiver. The New York Supplement to Official Form 103B consists of two types: the Simplified 103B form, which is for individuals who are above the median income for their state, and the Regular 103B form, which is for individuals who are below the median income for their state. Both forms require the filer to provide information about their current and past income, assets, and expenses, and to document any financial hardships. The form will also require filers to certify that they have provided accurate information and to provide a statement of their current financial situation.