Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_08-cv-00033/USCOURTS-caed-1_08-cv-00033-0/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)

---

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

HELEN ANDERSON, )

)

Plaintiff, )

)

v. )

)

COMMISSIONER OF SOCIAL )

SECURITY, )

 )

Defendant. )

 )

1:08-cv-00033-OWW-SMS

ORDER DIRECTING CLERK TO SEND

PLAINTIFF A BLANK APPLICATION

TO PROCEED IN FORMA PAUPERIS

FORM BY A PERSON WHO IS NOT

INCARCERATED

ORDER DIRECTING PLAINTIFF TO

FILE APPROPRIATE AND

COMPLETED APPLICATION TO

PROCEED IN FORMA PAUPERIS

FORM WITHIN TWENTY (20) DAYS

On January 7, 2008, Plaintiff filed a complaint that appears

to involve a claim relating to the Social Security

Administration, together with an application and affidavit for

leave to proceed in forma pauperis, which is not a standard court

form.

Accordingly, it is hereby ORDERED:

1. That the Clerk of Court send Plaintiff, together with

this order, a blank application to proceed in forma pauperis form

for a person who is not incarcerated; and,

//

Case 1:08-cv-00033-SMS Document 3 Filed 01/14/08 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

2. That Plaintiff file the appropriate and completed

application to proceed in forma pauperis form, within twenty (20)

days from the date of service of this order, in order for the

Court to proceed to process Plaintiff’s action.

IT IS SO ORDERED.

Dated: January 11, 2008 /s/ Sandra M. Snyder 

UNITED STATES MAGISTRATE JUDGE

Case 1:08-cv-00033-SMS Document 3 Filed 01/14/08 Page 2 of 2