1 2 3 4 REQT Name (Attorneys Include Bar No. & Firm) __________________________________ __________________________________ Address __________________________________ City/State/Zip Telephone __________________________________ In Proper Person OR Attorney for __________________________________ 5 DISTRICT COURT 6 CLARK COUNTY, NEVADA 7 8 9 10 11 12 13 Plaintiff(s) _________________________________ _________________________________ _________________________________ Plaintiff(s), -vs_________________________________ Defendant(s) _________________________________ _________________________________ Defendant(s). Case No. CASE NO.__________ DEPT. NO.__________ Dept. No. 14 15 16 REQUEST FOR WAIVER OF PROGRAM FEE 17 18 19 20 I respectfully request that the Court waive the program fee for the Court Education Program required under the provisions of EDCR 5.07. In support of my request, I attach my Affidavit of Financial Ability. 21 22 __________________________________________________ 23 24 25 . . . __________________________________________________ Name __________________________________________________ Address City/State/ZIP __________________________________________________ __________________________________________________ Telephone 26 27 28 REQT WAIVER OF PROGRAM FEE.doc/5/13/2005 American LegalNet, Inc. www.USCourtForms.com 1 2 3 4 5 6 7 ORDER Upon ex parte application, the Court having reviewed the matter, and good cause appearing therefor, it is hereby ORDERED that the applicant=s request to waive the program fee is hereby Granted Denied. DATED this Day day of Month , 20 Yr. . 8 9 _____________________________________ DISTRICT COURT JUDGE 10 11 12 Submitted by: 13 ________________________________________________ 14 15 ________________________________________________ Name ________________________________________________ Address ________________________________________________ City/State/ZIP ________________________________________________ Telephone 16 17 18 19 20 21 22 23 24 25 26 27 28 2 REQT WAIVER OF PROGRAM FEE.doc/5/13/2005 American LegalNet, Inc. www.USCourtForms.com