(A) An application to proceed in forma pauperis shall be accompanied by a
statement of the applicant’s financial information set forth on a form provided by the Court.
The Court may require the submission of additional information in a particular case.
(B) A self-represented plaintiff or petitioner who seeks or has been granted leave to
proceed in forma pauperis shall promptly notify the Court in writing of any change in his or her
financial status. Failure to so notify may result in dismissal of the case or other sanctions.
(C) The Clerk shall return any complaint or petition that is submitted for filing in
forma pauperis which is not accompanied by an affidavit as required by 28 U.S.C. § 1915(a).
(D) If a plaintiff who has been granted leave to proceed in forma pauperis is
successful on the merits of his or her case, the Court, in its discretion, may require the plaintiff
to pay any fees or costs suspended under 28 U.S.C. § 1915 as the Court directs. Any fees or
costs paid by the plaintiff pursuant to this subsection may be requested as plaintiff’s costs under
Fed.R.Civ.P. 54(d).
(Amended July 10, 2006, effective August 28, 2006)
