Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_15-cv-00499/USCOURTS-caed-2_15-cv-00499-0/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

KENNETH WASHINGTON,

Plaintiff,

v.

R. MEIER, et al.,

Defendants.

No. 2:15-cv-0499 KJN P

ORDER

Plaintiff, a state prisoner 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, the application is missing the second page which contains the 

certificate portion of the request which must be completed by plaintiff’s institution of 

incarceration, as well as plaintiff’s signature. Also, plaintiff has not filed a certified copy of his 

prison trust account statement for the six month period immediately preceding the filing of the 

complaint. See 28 U.S.C. § 1915(a)(2). Therefore, plaintiff will be provided the opportunity to 

submit a completed in forma pauperis application and a certified copy in support of his 

application.

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

1. Plaintiff’s application to proceed in forma pauperis (ECF No. 2) is dismissed without 

prejudice;

Case 2:15-cv-00499-KJM-KJN Document 4 Filed 03/19/15 Page 1 of 2
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2. Plaintiff shall submit, within thirty days from the date of this order, a completed 

affidavit in support of his request to proceed in forma pauperis on the form provided by the Clerk 

of Court; 

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

Forma Pauperis By a Prisoner; and

3. Plaintiff shall also submit, within thirty days from the date of this order, a certified 

copy of his prison trust account statement for the six month period immediately preceding the 

filing of the complaint. 

Plaintiff’s failure to comply with this order will result in a recommendation that this 

action be dismissed without prejudice.

Dated: March 19, 2015

wash0499.3c+new

Case 2:15-cv-00499-KJM-KJN Document 4 Filed 03/19/15 Page 2 of 2