Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_13-cv-02113/USCOURTS-caed-2_13-cv-02113-0/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

DAVID E. EDWARDS,

Plaintiff,

v.

DR. HSIEH, et al.,

Defendants.

No. 2:13-cv-02113 DAD 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. However, plaintiff 

has not submitted his in forma pauperis request on a proper form.

Plaintiff’s request for leave to proceed in forma pauperis will therefore be denied, and he

will be granted thirty days to submit a new request on a proper form. Plaintiff is cautioned that 

the form includes a section that must be completed by a prison official, and the application form 

must be accompanied by a certified copy of plaintiff’s prison trust account statement for the sixmonth period immediately preceding the filing of this action. 

Accordingly, IT IS HEREBY ORDERED that:

1. Plaintiff’s October 11, 2013, request for leave to proceed in forma pauperis (ECF No. 

2) is denied without prejudice;

2. The Clerk of the Court is directed to send plaintiff an Application to Proceed In Forma 

Pauperis By a Prisoner for use in a civil rights action; and

Case 2:13-cv-02113-GEB-DB Document 4 Filed 10/22/13 Page 1 of 2
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3. Plaintiff shall submit, within thirty days from the date of this order, a properly 

completed application to proceed in forma pauperis on the form provided with this order; plaintiff 

is cautioned that failure to comply with this order or seek an extension of time to do so will result 

in a recommendation that this action be dismissed without prejudice. 

Dated: October 21, 2013

/kly

edwa2113.3d

Case 2:13-cv-02113-GEB-DB Document 4 Filed 10/22/13 Page 2 of 2