© Clark County Self-Help Center Fee Waiver Order
Rev. Nov. 2015 ALL RIGHTS RESERVED
1
OIFP
Name: _________________________
Address: _______________________
City, State, Zip: __________________
Phone: _________________________
Email: _________________________
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
_____________________________
Joint Petitioner,
and
_____________________________
Joint Petitioner.
CASE NO.: ____________________
DEPT: ____________________
Order to Proceed in Forma Pauperis
Upon consideration of the Joint Petitioners’ Applications to Proceed in Forma
Pauperis, and it appearing that there is not sufficient income, property, or resources with which
to maintain the action, and good cause appearing therefore:
IT IS HEREBY ORDERED that (name) __________________________________
and (name) __________________________________ shall be permitted to proceed In Forma
Pauperis with this action pursuant to the terms of this Order.
IT IS FURTHER ORDERED that if the above-named party prevails in this action,
the Court shall enter an order pursuant to NRS 12.015 requiring the opposing party to pay the
Court, within five (5) days, the costs which would have been incurred by the prevailing party,
and those costs must then be paid as provided by law.