Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_25-cv-00059/USCOURTS-caed-1_25-cv-00059-0/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 28:1331 Federal Question: Bivens Act

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UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

BRODERICK WADE YORK,

Plaintiff,

v.

J. DOERER, et al.,

Defendants.

1:25-cv-00059-JLT-EPG (PC)

ORDER DIRECTING PLAINTIFF TO 

SUPPLEMENT HIS IFP APPLICATION

(ECF No. 2)

THIRTY DAY DEADLINE

Plaintiff is proceeding pro se in this civil rights action filed pursuant to 42 U.S.C. § 1983. 

Along with his complaint (ECF No. 1), on January 14, 2025, Plaintiff filed an application to 

proceed in forma pauperis. (ECF No. 2).

The in forma pauperis application requires Plaintiff to answer questions under penalty of 

perjury, including the question “have you received any money from the following sources over 

the last twelve months?” (Id. at 1–2). The form lists several sources of income, such as pensions 

or gifts, as well as “other,” and allows the applicant to check “yes” or “no” in response to each 

category. If the answer to receiving any of these categories of income is “yes,” then the form 

requires Plaintiff to describe “each source of money, state the amount received, as well as what 

you expect you will continue to receive (attach an additional sheet if necessary). (Id. at 2). 

Plaintiff answered “yes” to receiving money from “other sources.” (ECF No. 2 at 2). In 

addition, a certification by an authorized officer states that average monthly deposits to the 

Plaintiff’s trust account in the past six months were $843.36. (Id.) However, Plaintiff did not 

Case 1:25-cv-00059-JLT-EPG Document 5 Filed 01/16/25 Page 1 of 2
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provide any of the additional information required by the form, such as describing the source of 

the money, the amount received, or the amount he expects to continue to receive. 

Because Plaintiff’s IFP application is incomplete, the Court will require Plaintiff to submit 

a supplemental IFP application. 

Accordingly, IT IS ORDERED as follows:

1. The Clerk of Court is directed to send Plaintiff, along with this order, a long form 

application to proceed in forma pauperis (AO 239). 

2. Within 30 days of the date of service of this order, Plaintiff shall submit the attached 

application to proceed in forma pauperis, completed and signed in full under penalty 

of perjury, that includes detailed information regarding his “other” sources of income.

3. Alternatively, Plaintiff may pay the $405.00 filing fee for this action.

4. Failure to comply with this order may result in dismissal of this action. No requests for 

extension will be granted without a showing of good cause. 

IT IS SO ORDERED.

Dated: January 16, 2025 /s/

UNITED STATES MAGISTRATE JUDGE

Case 1:25-cv-00059-JLT-EPG Document 5 Filed 01/16/25 Page 2 of 2