28 USC App, FEDERAL RULES OF APPELLATE PROCEDURE, Form 7: Declaration of Inmate Filing
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*Public Law 119-75 has been enacted, but classifications have not been finalized. The currency ("laws in effect") date does not reflect acts for which classifications have not been finalized.

28 USC App, FEDERAL RULES OF APPELLATE PROCEDURE, Form 7: Declaration of Inmate Filing
From Title 28-AppendixFEDERAL RULES OF APPELLATE PROCEDUREAPPENDIX OF FORMS
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Form 7. Declaration of Inmate Filing

______________________________________________

[insert name of court; for example,

United States District Court for the District of Minnesota]


A.B., Plaintiff

v.

}Case No.________

C.D., Defendant


I am an inmate confined in an institution. Today, ________ [insert date], I am depositing the ________ [insert title of document; for example, "notice of appeal"] in this case in the institution's internal mail system. First-class postage is being prepaid either by me or by the institution on my behalf.

I declare under penalty of perjury that the foregoing is true and correct (see 28 U.S.C. §1746; 18 U.S.C. §1621).

Sign your name here________________________

Signed on ________________[insert date]


[Note to inmate filers: If your institution has a system designed for legal mail, you must use that system in order to receive the timing benefit of Fed. R. App. P. 4(c)(1) or Fed. R. App. P. 25(a)(2)(A)(iii).]

(As added Apr. 28, 2016, eff. Dec. 1, 2016; amended Apr. 26, 2018, eff. Dec. 1, 2018.)