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Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form). Download Form (pdf, 556.I am a plaintiff or petitioner in this case and declare that I am unable to pay the costs of these proceedings and that I am entitled to the relief requested. Fill out the Request to Waive Court Fees (form FW-001). This is a confidential form that only the court will see. THE COURT ORDERS that the waiver is: ☐ GRANTED. Court Forms do not yet adhere to accessibility standards. If you can't afford to pay filing fees, you may ask the court to waive those costs. (2) I ask the court for permission to proceed without prepayment of costs and fees. (3) I am filing this Application and Affidavit in good faith.