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Application to Proceed in District Court Without Prepaying Fees or Costs (Short Form). Download Form (pdf, 282.Rule 41(a) requires initial application to the district court. Complete the case caption as you did on the motion for leave to proceed in forma pauperis. Motion and Affidavit for Permission to Proceed in Forma Pauperis. Affidavit and Application to Proceed Without Payment of Fees (In Forma Pauperis) (Civil, Appeals, Emancipation) (English) ; DC . 1 ; Download ; Instructions. These documents use a variety of different names including Request to Waive Fees, Pauper's Affidavit, or Request to Proceed in Forma Pauperis. Notary Public for South Carolina. I,. , being first duly sworn, depose and say that I am the petitioner in the above entitled case; that in support of my motion to proceed without being.