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

IN THE ____________ COURT OF ____________ COUNTY, WEST VIRGINIA

_________________________ Plaintiff or Petitioner v. _________________________ Defendant or Respondent Civil Case No. ____________

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


Having reviewed pertinent information related to the financial affidavit and application dated _____________________ by _____________________________ (name of person alleging eligibility) for waiver of fees, costs, or security attendant to proceedings and services in this case, this court finds and hereby ORDERS that ____________________________________ (name of person alleging eligibility) (initial one) _____ is _____ is not now eligible for such waiver, subject to further order of this court or to the applicable provisions of Circuit Court Civil Rule 77(e) or Magistrate Court Civil Rule 22.

ENTER, this __________ day of ________________________________.

________________________________ Circuit Judge/Family Court Judge/Magistrate

SCA-C&M203.03