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In Forma Pauperis Application and Financial Affidavit (Prisoner Case). The motion must include a copy of the affidavit filed in the district court and the district court's statement of reasons for its action.040(1) establishes a procedure for a client is to file a motion to proceed in forma pauperis. Case Number: (Date File Stamp). Complete the case caption as you did on the motion for leave to proceed in forma pauperis. This document provides a list of the available filing codes that will appear in the filing code drop-down box. POST-CONVICTION HABEAS CORPUS FORM. A party to any proceeding in the appellate courts may file a motion to disqualify or recuse a judge or justice before whom the case is pending. A party to any proceeding in the appellate courts may file a motion to disqualify or recuse a judge or justice before whom the case is pending. (2) District Court's Duty to Complete Case Appeal Statement.