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☐ The lower court has granted a waiver of prepaid appellate costs associated with assembling the record. (B) The appellate court shall act on the request for the waiver of its prepaid cost within five business days after receipt of the request from the lower court.You will need to fill out and file Request to Waive Court Fees (form FW-001). Complete the Request for Waived of Prepaid Free for Assembling the Record for an Appeal. Complete the Request for Indemnity of Prepaid Appellate Costs. Appeal. Request for Waiver of Prepaid Costs for Assembling the Record for an Appeal. Request for Waiver of Prepaid Appellate Costs. (b) Dismissal of Appeal for Failure to Pay Docketing Fee. (4) A request to waive fees must be filed in each case for which a waiver is requested. Court in which judgment was entered for attorney fees, costs or both incurred on appeal.