Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_15-cv-01761/USCOURTS-caed-1_15-cv-01761-0/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

EASTERN DISTRICT OF CALIFORNIA

Plaintiff Phillip Campbell seeks to proceed in forma pauperis in this action. (Doc. 3) The Court 

may authorize the commencement of an action without prepayment of fees “by a person who submits 

an affidavit that includes a statement of all assets such person . . . possesses [and] that the person is 

unable to pay such fees or give security therefor.” 28 U.S.C. § 1915(a). The Court has reviewed the 

application and the information provided is insufficient to determine whether Plaintiff satisfies the 

requirements of 28 U.S.C. § 1915(a). 

According to his application, Plaintiff is not employed, and has no income other than 

government general assistance, which he has received only for three months. (Doc. 3 at 1) Further, 

Plaintiff notes he does not possess real estate, stocks, bonds, securities, other financial instruments, an 

automobile, or other things of value. (Id. at 2.) Consequently, the Court is unable to determine how 

Plaintiff is supporting himself, or if Plaintiff is dependent upon another individual who would be able 

to pay the filing fee.

PHILLIP CAMPBELL,

 Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

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Case No.: 1:15-cv-01761 - JLT

ORDER DIRECTING PLAINTIFF TO FILE AN 

AMENDED MOTION TO PROCEED IN FORMA 

PAUPERIS

Case 1:15-cv-01761-JLT Document 4 Filed 11/23/15 Page 1 of 2
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Accordingly, Plaintiff is ORDERED to file, within fourteen days of this order, an application 

that includes information on how Plaintiff is supporting himself, or his dependence on another. Upon 

receipt of this information, the Court will resume consideration of Plaintiff’s motion to proceed in 

forma pauperis. Plaintiff is warned that failure to comply with this order may result in denial of his

application to proceed in forma pauperis. 

IT IS SO ORDERED.

Dated: November 23, 2015 /s/ Jennifer L. Thurston 

UNITED STATES MAGISTRATE JUDGE

Case 1:15-cv-01761-JLT Document 4 Filed 11/23/15 Page 2 of 2