Last updated: 6/12/2018
Prison Account Statement Form
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Description
CERTIFICATION OF PRISON ACCOUNT STATEMENT. This form is used to provide a certified copy of a prisoner's trust fund account statement (or institutional equivalent) for the six-month period immediately preceding their application to the court. This is required under 28 U.S.C. §1915(a)(2). If the prisoner was confined in multiple institutions during that period, each institution must complete a certification. An authorized officer of each institution must certify that the attached account statement is true and correct. This form is part of the process for a prisoner seeking to proceed in forma pauperis (without paying court fees upfront), and it informs prison officials of their obligation to forward payments to the court as specified by the Prison Litigation Reform Act. www.FormsWorkflow.com
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