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Prisoner Request for Filing Fee Exemption

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PRISONER REQUEST FOR FILING FEE EXEMPTION

IN THE DISTRICT/SUPERIOR/SUPREME COURT FOR THE STATE OF ALASKA

AT

CASE NO.

PRISONER REQUEST FOR
FILING FEE EXEMPTION

I, request exemption from paying part of the filing fee in this civil litigation against the State of Alaska. As required by AS 09.19.010, I am submitting to the court:

1. the following affidavit, and

2. the attached certified copy of my account statement for the past six months from the Department of Corrections.

AFFIDAVIT

I swear or affirm under penalty of perjury that the following information is true to the best of my knowledge and belief.

1. I am a prisoner at

2. I am attaching a filled out Financial Statement on court form CR-206.

3. The circumstances that prevent me from paying the full filing fee are:

4. Nature of action:

application for post conviction relief

civil lawsuit

appeal of a civil judgment

appeal from final decision of an administrative agency

other:

5. The following specific facts will, when proven, state a claim on which relief can be granted or entitle me to reversal on appeal:

Date

Prisoner's Signature

Subscribed and sworn to or affirmed before me at Alaska on

(SEAL)

Notary Public or other person authorized to administer oaths.

My commission expires

ORDER

It is ordered that the above request is

GRANTED. The court finds that exceptional circumstances prevent the prisoner from paying the full filing fee. The required filing fee will be $

(Minimum required by AS 09.19.010(d) is 20% of the larger of average monthly deposits to or average balance in prisoner's account.)

DENIED. The court finds that no exceptional circumstances prevent the prisoner from paying the full filing fee.

Notice: This case may be dismissed without further notice unless the required filing fee is paid within 30 days after the date of distribution of this order.

Date

Judge

I certify that on a copy of this order was sent to:

Type or Print Name

Clerk:

Enter text

What the Prisoner Request for Filing Fee Exemption Is

A Prisoner Request for Filing Fee Exemption is a sworn petition that an incarcerated person files with a court to ask that required filing fees be waived due to indigence. Commonly used in civil rights actions (e.g., 42 U.S.C. §1983) and other civil suits, the form documents income, cash on hand, trust or commissary balances, and monthly obligations. Federal litigants may seek in forma pauperis status under 28 U.S.C. §1915; many state courts provide similar statutory or rule-based mechanisms for fee waivers. The request lets courts determine whether payment would create an unconstitutional barrier to access to the courts.

Why This Request Matters for Access to Justice

Submitting a clear, complete fee-exemption request preserves a prisoner’s access to the court system by removing a financial barrier and preventing dismissals. Proper documentation reduces clerical delays and supports judicial evaluation of indigence without unnecessary follow-up.

Why This Request Matters for Access to Justice

Who Prepares and Files These Requests

Typical filers include incarcerated individuals, pro se litigants assisted by jailhouse legal clerks, and attorneys representing detained clients.

  • Incarcerated litigant — completes affidavit of assets, signs statement under penalty of perjury, provides inmate identification.
  • Legal aid attorney — prepares form, attaches supporting documentation, and files with institutional knowledge of local court rules.
  • Prison law clerk / paralegal — helps collect commissary records and prepares exhibits to corroborate indigence claims.

Stepwise Process to Prepare and File the Request

Follow these sequential steps to assemble a complete filing package for the court clerk.

  • 01
    Gather Records: Collect commissary ledgers, trust statements, and any pay records.
  • 02
    Complete Form: Fill all fields accurately, using MM/DD/YYYY for dates.
  • 03
    Attach Evidence: Attach supporting documents and label exhibits clearly.
  • 04
    File with Clerk: Submit to the clerk per local court rules — electronic or paper.

Typical Routing From Submission to Court Decision

The filing follows a predictable path from intake to judicial review; understanding each stop reduces processing errors.

  • Intake Review: Clerk verifies completeness and assigns a docket number.
  • Administrative Screening: Clerk may request missing details or supporting documents.
  • Judicial Evaluation: Judge reviews affidavit and exhibits to determine indigence.
  • Order Issued: Court grants fee waiver, partial payment, or denies request.

Digital Workflow Settings to Support Filing

Configure a straightforward workflow to collect, validate, and deliver the completed request to the correct court inbox.

Field Configuration
Authentication Method Email link; SMS OTP; or identity proofing depending on court rules.
Conditional Fields Show attachments field only when inmate indicates funds or accounts exist.
Document Attachments Require PDF scans of commissary records, trust statements, or pay stubs.
Filing Destination Route to clerk of the voting or receiving court for submission.

Consequences of Incorrect or Misleading Requests

Application Denied: Case dismissed for nonpayment
False Statement: Perjury charges or sanctions possible
Missing Signature: Form returned for correction
Late Submission: Court may refuse retroactive waiver
Insufficient Evidence: Request delayed or denied
Clerical Errors: Processing delays and extra filings

Common Preparation Pitfalls to Avoid

  • Incomplete asset lists that omit commissary or trust funds often result in clerk requests for supplementation.
  • Failing to include the inmate number or correct facility address causes misrouting and extended processing times.
  • Uploading illegible scans of commissary ledgers or bank statements frequently leads courts to reject evidence as unverifiable.
  • Using vague expense descriptions like 'other obligations' without itemized receipts invites denials or requests for clarification.

Considerations for Digital Completion and Submission

Digital workflows can reduce errors but must comply with court e-filing rules and identity requirements.

  • Integrations: Salesforce, Microsoft 365, NetSuite, Google Workspace
  • File Formats: PDF, DOCX, and scanned image (PDF preferred)
  • Authentication: Email, SMS OTP, KBA, or SSO options

Essential Elements to Include in a Professional Request

A well-structured request organizes factual elements to make the court’s indigence determination straightforward and defensible.

Eligibility Statement

Clear declaration that you lack funds to pay fees, with concise explanation of circumstances and reference to relevant statute or rule.

Financial Affidavit

Itemized monthly income, trust balances, commissary funds, and receipts; include dates and institutional record references where available.

Case Reference

Provide the court name, docket or case number, and party names so the clerk can associate the request with the correct file.

Supporting Exhibits

Attach labeled exhibits such as commissary logs, account statements, or counselor letters to corroborate indigence assertions.

Certification

Include a sworn statement under penalty of perjury and sign using MM/DD/YYYY format to validate the affidavit legally.

Filing Instructions

Note whether the request should be filed electronically, mailed, or hand-delivered to the clerk per local standing orders.

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Frequently Asked Questions About Fee-Exemption Requests

Answers to frequent procedural and evidentiary questions help filers avoid delays and strengthen their petitions.


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