Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_14-cv-01369/USCOURTS-caed-1_14-cv-01369-0/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

RAYMOND POLK,

Plaintiff,

v.

UNITED STATES OF AMERICA, et al.,

Defendants.

1:14-cv-01369-GSA (PC)

ORDER TO SUBMIT APPLICATION 

TO PROCEED IN FORMA PAUPERIS

OR PAY FILING FEE WITHIN 45 DAYS

Plaintiff, a federal prisoner proceeding pro se in this civil rights action pursuant to Bivens 

vs. Six Unknown Agents, 403 U.S. 388 (1971), filed this case on September 2, 2014, together 

with an application to proceed in forma pauperis pursuant to 28 U.S.C. ' 1915 and a copy of his 

prison trust account statement. (Docs. 1, 2.) However, plaintiff did not file his application to 

proceed in forma pauperis on the form used by this court.

Accordingly, IT IS HEREBY ORDERED that:

1. The Clerk=s Office shall send to plaintiff the form for application to proceed in forma 

pauperis.

2. Within forty-five (45) days of the date of service of this order, plaintiff shall submit the 

attached application to proceed in forma pauperis, completed and signed, or in the alternative, pay 

the $400.00 filing fee for this action. Plaintiff is not required to submit another copy of his trust 

account statement. Failure to comply with this order will result in dismissal of this action.

IT IS SO ORDERED.

Dated: September 4, 2014 /s/ Gary S. Austin 

 UNITED STATES MAGISTRATE JUDGE

Case 1:14-cv-01369-LJO-GSA Document 4 Filed 09/05/14 Page 1 of 1