Free Motion for Review: Eligibility for Waiver of Fees, Costs, or Security - West Virginia

IN THE ____________ COURT OF ____________ COUNTY, WEST VIRGINIA

______________________ Plaintiff or Petitioner v. Civil Case No. ____________

______________________ Defendant or Respondent

MOTION FOR REVIEW: ELIGIBILITY FOR WAIVER OF FEES, COSTS, OR SECURITY

I hereby move for a review of my eligibility for waiver of fees, costs, or security attendant to proceedings or services in this case and a ruling as provided by law.

Date: _________________

Signature _____________________________ Name (print clearly) _____________________

SCA-C&M202.03