Free Microsoft Word - MOTION FOR REVIEW-ELIGIBILITY FOR WAIVER _SCA-C&M202.03_.d­ - West Virginia

IN THE

COURT OF

COUNTY, WEST VIRGINIA

Plaintiff or Petitioner v. 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