Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_16-cv-00968/USCOURTS-caed-2_16-cv-00968-0/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

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UNITED STATES DISTRICT COURT 

FOR THE EASTERN DISTRICT OF CALIFORNIA 

BRIAN HAMILTON, 

Plaintiff, 

v. 

TOM BOSENKO, et al., 

Defendants. 

No. 2:16-cv-0968 KJN P 

ORDER 

 Plaintiff, presently held in the Shasta County Jail and proceeding pro se, has filed a civil 

rights action pursuant to 42 U.S.C. § 1983, together with a request for leave to proceed in forma 

pauperis pursuant to 28 U.S.C. § 1915. However, plaintiff has not completed the application to 

proceed in forma pauperis form. First, plaintiff responded yes to questions 3(d) and 4, but failed 

to describe the source of money, the amount received and whether he expects the payments to 

continue in response to question 3(d), and failed to set forth the total amount in response to 

question 4. (ECF No. 2 at 1-2.) Second, the certificate portion of the request which must be 

completed by plaintiff’s institution of incarceration has not been filled out. Third, plaintiff has 

not filed a copy of his jail trust account statement for the six month period immediately preceding 

the filing of the complaint. See 28 U.S.C. § 1915(a)(2). 

 On the other hand, appended to his application form is a letter directed to the court in 

which plaintiff states that he authorizes Brian Schall “to release the funds for filing fees.” (ECF 

Case 2:16-cv-00968-TLN Document 4 Filed 05/13/16 Page 1 of 2
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No. 2 at 3.) Plaintiff provides Mr. Schall’s address and phone number, and then adds, “the 

amount and a receipt for filing.” (ECF No. 2 at 3.) If plaintiff intends to pay the filing fee, or 

have a third party pay the filing fee, the amount due is $400.00. However, plaintiff must make 

such payment arrangements on his own. 

 In light of plaintiff’s letter, and his incomplete application to proceed in forma pauperis, it 

is unclear whether plaintiff intends or qualifies to proceed in forma pauperis. Accordingly, 

plaintiff is provided the opportunity to submit a completed in forma pauperis application1 and a 

certified copy in support of his application, or to submit the $400.00 filing fee. Plaintiff’s failure 

to comply with this order will result in a recommendation that this action be dismissed without 

prejudice. 

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

 1. Plaintiff shall submit, within thirty days from the date of this order: 

 A. A completed affidavit in support of his request to proceed in forma pauperis on 

the form provided by the Clerk of Court, and a certified copy of his jail trust account statement 

for the six month period immediately preceding the filing of the complaint; or 

 B. The $400.00 filing fee; 

 2. The Clerk of the Court is directed to send plaintiff a new Application to Proceed In 

Forma Pauperis By a Prisoner. 

Dated: May 13, 2016 

/md/cw; hami0968.3c+.new 

 

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 If leave to file in forma pauperis is granted, plaintiff will still be required to pay the $350.00 

filing fee but will be allowed to pay it in installments through his jail trust account. Litigants 

proceeding in forma pauperis are not required to pay the $50.00 administrative fee. 

Case 2:16-cv-00968-TLN Document 4 Filed 05/13/16 Page 2 of 2