Free Order to Proceed Without Prepaying Fees or Costs - Federal

AO 240A (Rev. 01/09) Order to Proceed Without Prepaying Fees or Costs

UNITED STATES DISTRICT COURT
for the __________ District of __________ ) ) ) ) )

Plaintiff

v.
Defendant

Civil Action No.

ORDER TO PROCEED WITHOUT PREPAYING FEES OR COSTS IT IS ORDERED: The plaintiff's application under 28 U.S.C. § 1915 to proceed without prepaying fees or costs is:

' Granted:
The clerk is ordered to file the complaint and issue a summons. The United States marshal is ordered to serve the summons with a copy of the complaint and this order on the defendant(s). The United States will advance the costs of service. Prisoner plaintiffs are responsible for full payment of the filing fee.

' Granted Conditionally:
The clerk is ordered to file the complaint. Upon receipt of the completed summons and USM-285 form for each defendant, the clerk will issue a summons. If the completed summons and USM-285 forms are not submitted as directed, the complaint may be dismissed. The United States marshal is ordered to serve the completed summons with a copy of the complaint and this order on the defendant(s). The United States will advance the costs of service. Prisoner plaintiffs are responsible for full payment of the filing fee.

' Denied:
This application is denied for these reasons:

Date:
Judge's signature

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