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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. If you can't afford to pay filing fees, you may ask the court to waive those costs. (A) the request for waiver of both the lower and appellate prepaid costs shall be filed in the lower court with the notice of appeal;. What you get: Instant access to fillable Microsoft Word or PDF forms. You must sign your request for a fee waiver under penalty of perjury. You must tell the truth, and your answers must be accurate and complete. Late Payment Appeal Form, Use this form to request the waiver of the late tuition payment fee.