Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_24-cv-01540/USCOURTS-caed-1_24-cv-01540-0/pdf.json

Nature of Suit Code: 864
Nature of Suit: Social Security - SSID Title XVI
Cause of Action: 42:402 Social Security Benefits

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UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

NANCY MORENO O/B/O MINOR A.J.M.,

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

Case No. 1:24-cv-01540-BAM

ORDER REQUIRING PLAINTIFF TO FILE 

LONG FORM APPLICATION TO PROCEED 

IN FORMA PAUPERIS

(Doc. 2)

TWENTY-ONE DAY DEADLINE 

On December 17, 2024, Plaintiff Nancy Moreno on behalf of minor A.J.M. (“Plaintiff”), 

through counsel, filed this action seeking judicial review of a final decision of the Commissioner 

of the Social Security Administration. (Doc. 1.) Plaintiff did not pay the filing fee and instead 

filed an application to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. (Doc. 2). 

However, Plaintiff’s application is insufficient for the Court to determine if Plaintiff is entitled to 

proceed without prepayment of fees in this action. 

Plaintiff reports that she is employed, taking home approximately $4,000.00 per month, 

and receiving biweekly pay. (Doc. 2 at 1.) Additionally, Plaintiff reports that her husband is 

working and also earning $4,000.00 per month. (Id.) She also indicates that she has only $3.00 

in a checking account and identifies four persons dependent upon her for support, including two 

Case 1:24-cv-01540-BAM Document 4 Filed 12/18/24 Page 1 of 2
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adults. However, Plaintiff does not identify the amount she contributes to their support. (Id. at 

2.) 

Having considered the application, the Court requires additional information to determine 

if Plaintiff is entitled to proceed in forma pauperis in this action. Accordingly, the Court will 

order Plaintiff to complete and file an Application to Proceed in District Court Without 

Prepaying Fees or Costs (Long Form) – AO 239. If Plaintiff is unwilling to complete and submit 

the long form application, Plaintiff must pay the filing fee in full.

Based upon the foregoing, it is HEREBY ORDERED that:

1. The Clerk of the Court is directed to forward an Application to Proceed in District 

Court Without Prepaying Fees or Costs (Long Form) – AO 239 to Plaintiff;

2 Within twenty-one (21) days of the date of this order, Plaintiff shall either (1) 

pay the $405.00 filing fee for this action, or (2) complete and file the enclosed 

Application to Proceed in District Court Without Prepaying Fees or Costs (Long 

Form) – AO 239; and

3. If Plaintiff fails to comply with this order, then this action will be dismissed.

IT IS SO ORDERED.

Dated: December 18, 2024 /s/ Barbara A. McAuliffe _

UNITED STATES MAGISTRATE JUDGE

Case 1:24-cv-01540-BAM Document 4 Filed 12/18/24 Page 2 of 2