Instructions
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Use Form 4 or an equivalent financial declaration to ask the court to waive the filing fees for an appeal or petition for review in any civil case. For criminal and habeas corpus cases, use Form 23 CJA Financial Affidavit [link] instead of Form 4 to request a fee waiver or to ask for appointment of counsel. • Answer all questions on the form even if the answer is “0” or “N/A” (not applicable). • Include your case number and sign the form. You do not need to have the form notarized. • Do not include your Social Security number. If you are representing yourself and not registered for electronic filing, mail the completed form to: U.S. Court of Appeals for the Ninth Circuit, P.O. Box 193939, San Francisco, CA 94119-3939 or submit electronically via EDSS. To file the form electronically using ACMS, use the filing type “Motion to Proceed in Forma Pauperis.” If your case is in CM/ECF, use the filing type “Motion for Any Type of Relief” and “motion to proceed in forma pauperis” as the relief. |