Application to Proceed in District Court Without Prepaying Fees or Costs (Short Form)
Federal · United States Courts · Effective July 1, 2010
This form is an application used by a plaintiff or petitioner to ask the court to allow them to continue with a case without having to pay upfront fees or costs. The form asks the applicant to answer questions about their income, assets, and expenses.
Where this fits in a case
Start a caseStage: Start a case
This form is used when a person who is starting a case in the District Court cannot afford to pay the required fees and costs for the proceedings.
Usually filed by the person starting the case.
Common questions
- Who should fill out this form?
- The form is for a plaintiff or petitioner who is starting a case in the District Court and cannot pay the costs. Great care must be taken to answer all questions truthfully. Great care must be taken to answer all questions truthfully.
- What information does this form ask for?
- It asks for details about your income, if you are incarcerated, what assets you own, and what your regular monthly expenses are. It also asks about any people who depend on you for support.
Revision history
No changes recorded since we started tracking this form on October 9, 2026. The current version took effect July 1, 2010.
Related forms
- AO 239
Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form)
This form is an application used to ask the court to allow someone to continue a case without having to pay the required fees or costs upfront. It asks the person to provide detailed financial information about themselves and their spouse.
Fillable PDFStart a case
Eff. Jan 1, 2015
- AO 240A
Order to Proceed Without Prepaying Fees or Costs
This form is an order that decides whether a person can start a case without paying the required filing fees or costs upfront. It states what actions the court clerk and the United States marshal must take based on the judge's decision.
Judgment
Eff. Aug 1, 2023