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Request for Waiver of Prepaid Costs. guideandfilelogo2. ccdc089.pdf. THE COURT FINDS: ☐ The lower court has granted a waiver of prepaid appellate costs associated with assembling the record.I,. , request that the court grant a final waiver of open costs. I am unable to pay the final open court fees and costs in this matter because of poverty. Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form). Download Form (pdf, 556. (B) The appellate court shall act on the request for the waiver of its prepaid cost within five business days after receipt of the request from the lower court. What you get: Instant access to fillable Microsoft Word or PDF forms. Instructions: Complete this form and file it with the court. Applications to Proceed without Prepayment of Costs, Fees, or Security – often referred to as "Fee Waiver Applications.