April 8, 2026

Honorable Mike Johnson

Speaker, United States House of Representatives

Washington, DC 20515

Dear Mr. Speaker:

I have the honor to submit to the Congress an amendment to the Federal Rules of Appellate Procedure that has been adopted by the Supreme Court of the United States pursuant to Section 2072 of Title 28, United States Code.

Accompanying the amended form are the following materials that were submitted to the Court for its consideration pursuant to Section 331 of Title 28, United States Code: a transmittal letter to the Court dated October 16, 2025; a blackline version of the form with committee note; an excerpt from the September 2025 report of the Committee on Rules of Practice and Procedure to the Judicial Conference of the United States; and an excerpt from the May 2025 report of the Advisory Committee on Appellate Rules.

Sincerely,

/s/ John G. Roberts, Jr.

April 8, 2026

Honorable James D. Vance

President, United States Senate

Washington, DC 20510

Dear Mr. President:

I have the honor to submit to the Congress an amendment to the Federal Rules of Appellate Procedure that has been adopted by the Supreme Court of the United States pursuant to Section 2072 of Title 28, United States Code.

Accompanying the amended form are the following materials that were submitted to the Court for its consideration pursuant to Section 331 of Title 28, United States Code: a transmittal letter to the Court dated October 16, 2025; a blackline version of the form with committee note; an excerpt from the September 2025 report of the Committee on Rules of Practice and Procedure to the Judicial Conference of the United States; and an excerpt from the May 2025 report of the Advisory Committee on Appellate Rules.

Sincerely,

/s/ John G. Roberts, Jr.

April 8, 2026

SUPREME COURT OF THE UNITED STATES

ORDERED:

1. The Federal Rules of Appellate Procedure are amended to include an amendment to Form 4.

[See infra pp. .]

2. The foregoing amendment to the Federal Rules of Appellate Procedure shall take effect on December 1, 2026, and shall govern in all proceedings in appellate cases thereafter commenced and, insofar as just and practicable, all proceedings then pending.

3. THE CHIEF JUSTICE is authorized to transmit to the Congress the foregoing amendment to the Federal Rules of Appellate Procedure in accordance with the provisions of Section 2074 of Title 28, United States Code.

United States District Court

for the

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<Name(s) of plaintiff(s)>,

Plaintiff(s)

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Defendant(s)

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AFFIDAVIT ACCOMPANYING MOTION

FOR PERMISSION TO APPEAL IN FORMA PAUPERIS

Affidavit in Support of Motion

I swear or affirm under penalty of perjury that, because of my poverty, I cannot prepay the filing fees of my appeal or post a bond for them. I believe I am entitled to relief. I swear or affirm under penalty of perjury under United States laws that my answers on this form are true and correct. (28 U.S.C. § 1746; 18 U.S.C. § 1621.)

Signed: Date:

The court may grant a motion to proceed in forma pauperis if you show that you cannot pay the filing fees and you have a non-frivolous issue on appeal. Please state your issues on appeal. (Attach additional pages if necessary.)

My issues on appeal are:

1.What is your monthly take-home pay, if you have any, from your work?$

2.What is your monthly income from any source other than take-home pay from work (such as unemployment benefits, alimony, child support, public assistance, pension, and social security)?

$

3.How much are your monthly housing costs (such as rent and utilities)?$

4.How much are your monthly costs for other necessary expenses (such as food, medical care, childcare, and transportation)?

$

5.What is the total value of all your assets (such as bank accounts, investments, market value of car or house)?

$

6.How much debt do you have (such as credit cards, mortgage, and student loans)?

$

7.How many people (including yourself) do you support?

8.Do you receive SNAP (Supplemental Nutrition Assistance Program), Medicaid, or SSI (Supplemental Security Income)? These programs may go by different names in some states.

YesNo

Are you a prisoner seeking to appeal a judgment in a civil action or proceeding? If so, then no matter how you answered the questions above, you must attach a statement certified by the appropriate institutional officer showing all receipts, expenditures, and balances during the last six months in your institutional accounts. If you have multiple accounts, perhaps because you have been in multiple institutions, attach one certified statement of each account.

For all applicants: if there is anything else that you think explains why you cannot pay the filing fees, please feel free to explain below. (Attach additional pages if necessary.)