Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-arwd-5_06-cv-05168/USCOURTS-arwd-5_06-cv-05168-1/pdf.json

Nature of Suit Code: 555
Nature of Suit: Prisoner - Prison Condition
Cause of Action: 42:1983 Prisoner Civil Rights

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AO72A

(Rev. 8/82)

IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

FAYETTEVILLE DIVISION

WILLIAM D. GARLAND PLAINTIFF

v. Civil No. 06-5168

RANDAL DENZER,

SHERIFF TIM HELDER, and

SGT. LUTHER DEFENDANTS

O R D E R

Plaintiff’s complaint was filed in this case on September 15, 2006. Before the

undersigned is the issue of whether the complaint should be served. In order to assist the court

in making such determination, it is necessary that plaintiff provide additional information.

Accordingly, it is ordered that plaintiff complete and sign the attached addendum to his

complaint, and return the same to the court by December 15, 2006. Plaintiff is advised that

should he fail to return the completed and executed addendum by December 15, 2006, his

complaint may be dismissed without prejudice for failure to prosecute and/or for failure

to obey an order of the court.

IT IS SO ORDERED this 21st day of November 2006.

/s/ Beverly Stites Jones

HON. BEVERLY STITES JONES

UNITED STATES MAGISTRATE JUDGE

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IN THE UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF ARKANSAS

FAYETTEVILLE DIVISION

WILLIAM D. GARLAND PLAINTIFF

v. Civil No. 06-5168

RANDAL DENZER,

SHERIFF TIM HELDER, and

SGT. LUTHER DEFENDANTS

ADDENDUM TO COMPLAINT

TO: WILLIAM GARLAND

This form is sent to you so that you may assist the court in making a determination as to

the issue of whether the complaint should be served upon the defendants. Accordingly, it is

required that you fill out this form and send it back to the court by December 15, 2006 Failure

to do so will result in the dismissal of your complaint.

The response must be legibly handwritten or typewritten, and all questions must be

answered completely in the proper space provided on this form. If you need additional space,

you may attach additional sheets of paper to this addendum.

RESPONSE

In your complaint, you allege your rights were violated on when you were attacked by

fellow inmates. Further, you contend that you have been denied medical attention and

medication. 

1. In your complaint, you state that you were a witness in a murder trial. Further, you

indicate that Officer Robinson told you that you would be placed in protective custody.

However, when you were not. Who did you ask to place you in protective custody?

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

2. Was this person made aware of your status as a witness for the state?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

3. What was their reason for not placing you in protective custody?

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

4. Did the defendants have reason to know that you would be placed in danger if you

were placed in the general population? 

Answer: Yes __________ No ____________.

If so, please explain.

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___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

5. Were you injured during the attack?

Answer: Yes __________ No ____________.

If so, please describe your injuries.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

6. Did your injuries necessitate medical treatment? 

Answer: Yes __________ No ____________.

If so, state when you were treated, where you were treated, and the name of the

doctor/nurse treating you.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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7. You state that you have had spinal surgery in the past. Please state the reason for this

surgery and the date it occurred. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

8. You state that you need to see a specialist for your back. Have you been referred to

a specialist by another doctor? 

Answer: Yes __________ No ____________.

9. Have you filed a medical request to see a specialist?

Answer: Yes __________ No ____________.

If yes, when did you file it and what was the response. 

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

___________________________________________________________________________

10. You state that you have been denied your medication. Please provide the name of

each medication denied, the reason you are taking the medication, and the name of the doctor

who prescribed it. 

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___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

11. You state that the defendants have told you that your family will have to pay for your

medication. Who told you this and when? 

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

12. Are you alleging that you have not received your medications because you and your

family are unable to pay for them?

___________________________________________________________________________

___________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

13. You allege that defendants William Garland, Randal Denzer, Tim Helder, and

Sergeant Luther have violated your federal constitutional rights. Please explain how each

defendant has violated your rights.

WILLIAM GARLAND:

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____________________________________________________________________________

_________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________

RANDAL DENZER:

____________________________________________________________________________

____________________________________________________________________________

_________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________

TIM HELDER:

____________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________

SERGEANT LUTHER

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____________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

_____________________________________________________________________________

14. Are you suing the defendants in their individual capacity, official capacity, or both?

Claims against individuals in their official capacities require proof that a policy or custom of the

entity violated your rights. Personal capacity claims, on the other hand, are those which allege

personal liability for individual actions by officials in the course of their duties.

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

I CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS COVERED BY

THE VERIFICATION MADE BY ME ON MY INITIAL COMPLAINT.

_______________________________________

WILLIAM GARLAND

________________________________________

DATE

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