Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_14-cv-00827/USCOURTS-caed-1_14-cv-00827-0/pdf.json

Nature of Suit Code: 864
Nature of Suit: Social Security - SSID Title XVI
Cause of Action: 42:205 Denial Social Security Benefits

---

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

1

UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

HARLAND THOMAS WALTERS,

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

Case No. 1:14-cv-00827-SAB

ORDER DENYING APPLICATION TO 

PROCEED IN FORMA PAUPERIS AND 

REQUIRING PLAINTIFF TO FILE LONG 

FORM APPLICATION

(ECF NO. 2)

Plaintiff Harland Thomas Walters (“Plaintiff”) filed a complaint on May 30, 2014. (ECF 

No. 1.) Plaintiff did not pay the filing fee in this action and instead filed an application to 

proceed in forma pauperis pursuant to 28 U.S.C. § 1915. (ECF No. 2.) However, Plaintiff’s 

application was not adequately completed. Plaintiff declined to provide a complete response to 

questions 2(d), 2(e) and 2(f), which ask if Plaintiff received any disability or worker’s 

compensation payments, any gifts or inheritances, or any other funds from any other sources. 

Further, Plaintiff indicated that he last worked in May 2014—the same month he filed his 

application—but provided no information regarding such employment such as the employer’s 

name or Plaintiffs gross pay or wages. It is unclear if Plaintiff remains employed.

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 

Case 1:14-cv-00827-SAB Document 3 Filed 06/04/14 Page 1 of 2
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

2

full.

Accordingly, IT IS HEREBY ORDERED that:

1. Plaintiff’s application to proceed in forma pauperis is DENIED without prejudice;

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

(Long Form) to Plaintiff;

3. On or before June 24, 2014, 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 using the attached Application to Proceed in District Court 

Without Prepaying Fees or Costs (Long Form) – AO 239; and

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

IT IS SO ORDERED.

Dated: June 4, 2014 

UNITED STATES MAGISTRATE JUDGE

Case 1:14-cv-00827-SAB Document 3 Filed 06/04/14 Page 2 of 2