N.D. Cal. Civil L.R. 3-10

(a) Motion to Proceed In Forma Pauperis. At the commencement of an action, any

person wishing the Court to authorize prosecution or defense of the action without

payment of fees or security, pursuant to 28 U.S.C. § 1915, must submit, with the

proposed complaint, an Ex Parte Motion to Proceed In Forma Pauperis, pursuant to

Civil L.R. 7-11. The Clerk shall file the complaint, assign a case number, and assign a

presiding Judge.

(b) Content of Motion. The motion must contain:

(1) A request to proceed in forma pauperis;

(2) An affidavit or declaration under penalty of perjury providing the information

required by Title 28 U.S.C. § 1915, on a form available at the Office of the Clerk

and on the Court’s website, or an equivalent form; and

(3) A proposed order.

(c) Determination of the Motion. The Judge may grant the motion, grant the motion

(subject to partial payment of fees, costs or security), or deny the motion. If the motion

is granted in part or denied, the order will state that the action is dismissed unless any

outstanding fees, costs, or security is paid within the time set in the order.