Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_15-cv-01125/USCOURTS-caed-1_15-cv-01125-0/pdf.json

Nature of Suit Code: 864
Nature of Suit: Social Security - SSID Title XVI
Cause of Action: 42:416 Denial of Social Security Benefits

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UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

DAMIEN GABRIEL GONZALES,

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

Case No. 1:15-cv-01125-SAB

ORDER REQUIRING PLAINTIFF TO FILE 

LONG FORM APPLICATION TO 

PROCEED IN FORMA PAUPERIS

(ECF NO. 2)

TWENTY DAY DEADLINE

Plaintiff Damien Gabriel Gonzales filed a complaint on July 20, 2015. Plaintiff did not 

pay the filing fee in this action and instead an application to proceed in forma pauperis pursuant 

to 28 U.S.C. § 1915 was filed by his mother. However, the application to proceed in forma

pauperis was not adequately completed. The application indicates that Plaintiff’s mother is 

employed and works 16 to 20 hours per week, but does not provide the amount of wages 

received. Accordingly, the Court will order Plaintiff to complete and file an Application to 

Proceed in District Court Without Prepaying Fees or Costs (Long Form) – AO 239. If Plaintiff is 

unwilling to complete and submit the long form application, Plaintiff must pay the filing fee in 

full.

Accordingly, IT IS HEREBY ORDERED that:

1. The Clerk of the Court is directed to forward an in forma pauperis application

(Long Form) to Plaintiff;

Case 1:15-cv-01125-SAB Document 3 Filed 07/22/15 Page 1 of 2
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2. Within twenty (20) days of the date of this order, Plaintiff shall either (1) pay the 

$400.00 filing fee for this action, or (2) file an application to proceed in forma

pauperis without prepayment of the fee; and

3. If Plaintiff fails to comply with this order, this action shall be dismissed.

IT IS SO ORDERED.

Dated: July 21, 2015 

UNITED STATES MAGISTRATE JUDGE

Case 1:15-cv-01125-SAB Document 3 Filed 07/22/15 Page 2 of 2