Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_17-cv-06928/USCOURTS-cand-3_17-cv-06928-0/pdf.json

Nature of Suit Code: 863
Nature of Suit: Social Security - DIWC/DIWW (405(g))
Cause of Action: 42:1383 Review of HHS Decision

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United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

STEPHEN R BUSBY,

Plaintiff,

v.

NANCY BERRYHILL,

Defendant.

Case No.17-cv-06928-HSG (DMR)

ORDER RE APPLICATION TO 

PROCEED IN FORMA PAUPERIS

(X) IT IS ORDERED that the application to proceed in forma pauperis is GRANTED. 

Issuance of summons and service will be determined separately. The complaint having been 

found to comply with Title 28 USC § 1915, IT IS FURTHER ORDERED that the Clerk issue 

summons, and IT IS FURTHER ORDERED that the U.S. Marshal for the Northern District of 

California serve, without prepayment of fees, a copy of the complaint, any amendments, 

scheduling orders, attachments, plaintiff's affidavit and this order upon the defendant. 

( ) IT IS ORDERED that the application to proceed in forma pauperis is DENIED, and 

that the filing fee of $400.00 be paid no later than. Failure to pay the filing fee by that date will 

result in dismissal of the above-entitled action without prejudice. The plaintiff is hereby apprised 

of his/her responsibility to serve the complaint and any amendments, scheduling orders, 

attachments, pursuant to Rule 4, Federal Rules of Civil Procedure. Plaintiff has a continuing 

obligation to keep the Court informed of his or her current address. Failure to do so may result in 

dismissal of this action.

( ) IT IS ORDERED that the application to proceed in forma pauperis is DENIED and 

the plaintiff is further ordered that:

( ) Filing fee waived in part: partial payment of $ due on, remaining balance to be 

Case 3:17-cv-06928-LB Document 6 Filed 03/07/18 Page 1 of 2
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United States District Court

Northern District of California

waived.

( ) Partial payment of $ due on, remaining balance due and payable on.

( ) Partial payment of $ due on, remaining balance due in installments as follows: .

Failure to pay this amount will result in dismissal of the above-entitled action without 

prejudice. The plaintiff is hereby apprised of his/her responsibility to serve the complaint and any 

amendments, scheduling orders, attachments, pursuant to Rule 4, Federal Rules of Civil 

Procedure. Plaintiff has a continuing obligation to keep the Court informed of his or her current 

address. Failure to do so may result in dismissal of this action.

Dated: March 7, 2018 

______________________________________

Haywood S. Gilliam, Jr.

United States District Judge

(Not to be used in PRISONER OR HABEAS CORPUS cases) NDC CSA-7 (rev. 4/22/2014)

Case 3:17-cv-06928-LB Document 6 Filed 03/07/18 Page 2 of 2