Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_14-cv-02569/USCOURTS-caed-2_14-cv-02569-0/pdf.json

Nature of Suit Code: 864
Nature of Suit: Social Security - SSID Title XVI
Cause of Action: 42:405 Review of HHS Decision (SSID)

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UNITED STATES DISTRICT COURT 

FOR THE EASTERN DISTRICT OF CALIFORNIA 

JOHN WILLIAM FERRIS, V, 

Plaintiff, 

v. 

CAROLYN W. COLVIN, Acting 

Commissioner of Social Security, 

Defendant. 

No. 2:14-cv-02569 AC 

ORDER 

 Plaintiff has requested authority under 28 U.S.C. § 1915 to proceed in forma pauperis. 

Plaintiff has submitted the affidavit required by § 1915(a). ECF No. 2. However, the affidavit is 

neither signed nor dated by plaintiff. Id. Accordingly, the request to proceed in forma pauperis 

will be denied. Plaintiff will be provided the opportunity to submit a signed affidavit in support 

of his request to proceed in forma pauperis. 

 In accordance with the above, IT IS HEREBY ORDERED that: 

 1. Plaintiff shall submit, within twenty days from the date of this order, either a 

completed application and affidavit in support of his request to proceed in forma pauperis on the 

form provided by the Clerk of Court, or the appropriate filing fee; plaintiff’s failure to comply 

with this order will result in a recommendation that this action be dismissed; and 

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Case 2:14-cv-02569-AC Document 3 Filed 11/05/14 Page 1 of 2
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 2. The Clerk of the Court is directed to send plaintiff a new Application to Proceed In 

Forma Pauperis. 

DATED: November 5, 2014 

 

Case 2:14-cv-02569-AC Document 3 Filed 11/05/14 Page 2 of 2