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Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form). Download Form (pdf, 556.Affidavit of Indigency. Court Costs, Fees, And Surcharges. 00, you may ask the Court to allow you to proceed in forma pauperis. If you are unable to pay court fees, you can file the Affidavit of Indigency Form to ask the court to waive those fees. Completing the Civil Rights Complaint Form. How do I ask the Court to give me permission to file my case n Forma Pauperis? For non-prisoner parties the process to initiate an in forma pauperis authorization is similar to that in state court. , address, and telephone no.