Last updated: 10/21/2025
Application To Proceed Without Prepayment Of Fees And Affidavit By A Prisoner
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Description
APPLICATION TO PROCEED ON APPEAL WITHOUT PREPAYMENT OF FEES AND AFFIDAVIT BY A PRISONER. This form is used by incarcerated individuals who wish to appeal a case without paying filing fees upfront under 28 U.S.C. § 1915 (in forma pauperis). The form requires the prisoner to declare their inability to pay court costs, detail their income, assets, and expenses, and provide an institutional account statement certified by a prison official. It also includes an Affidavit Accompanying Motion for Permission to Appeal In Forma Pauperis, requiring full disclosure of financial information for both the prisoner and spouse, such as income sources, employment, dependents, debts, and monthly expenses. Prisoners must sign the form under penalty of perjury and attach supporting financial documents as required by local rule D. Kan. 9.1(g)(2)(A). www.FormsWorkflow.com
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