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Application to Proceed in District Court Without Prepaying Fees or Costs (Short Form). Download Form (pdf, 282.Fill out the Request to Waive Court Fees (form FW-001). This is a confidential form that only the court will see. (2) Action on the Motion. If the prisoner does not pay the costs in advance, the civil action, appeal, or writ application shall be dismissed without prejudice. Court Forms do not yet adhere to accessibility standards. Affidavit of Indigency. And includes no allotment that could be budgeted to pay for court fees and costs incident to this proceeding. 4. There is no official form for this request and different Judges may require different information to decide your fee waiver request.