Superior Court of the District of Columbia CIVIL DIVISION Plaintiff(s) vs. Case No. Defendant(s) MOTION TO PROCEED IN FORMA PAUPERIS and respectfully request this Comes now the honorable court to allow them to proceed without prepayment of costs for the following reason(s): Printed name: Address: Signature: Home phone no. Business phone no. CERTIFICATE OF SERVICE I certify that a copy of the above was mailed, postage prepaid, on To: Name: Address: Name: Address: Signature POINTS AND AUTHORITIES (Write the reasons why the Court should grant your motion and include Court rules, laws and cases, if any, that support your reasons.) Signature 2001 © American LegalNet, Inc.