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If the application for waiver of fees payable to the court or for payment of costs of service of process is denied, and upon request, schedule a hearing. A request to dismiss the case (use form CIV-110) must have a declaration under penalty of perjury that the waived fees and costs have been paid.Court forms and a list of court forms may be obtained free of charge: Online. Visit the Indiana State Supreme Court's website to request a fee waiver. Service. The links below will take you to the statewide fee schedule for particular actions in circuit courts, Tax Court, Court of Appeals, and Supreme Court. In most cases, you must pay a fee to start a case. This waiver just removes the requirement that you pay the fees "up front. Call your court clerk's office to find out. Do not provide original documents. Sign the Financial Affidavit section in front of a court clerk, a notary public or an attorney. 3.