Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_15-cv-00791/USCOURTS-caed-2_15-cv-00791-0/pdf.json

Nature of Suit Code: 864
Nature of Suit: Social Security - SSID Title XVI
Cause of Action: 42:205 Denial Social Security Benefits

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UNITED STATES DISTRICT COURT 

FOR THE EASTERN DISTRICT OF CALIFORNIA 

VERONICA WELLS, 

Plaintiff, 

v. 

CAROLYN W. COLVIN, Acting 

Commissioner of Social Security, 

Defendant. 

No. 2:15-cv-00791-AC 

ORDER 

 On April 11, 2015, plaintiff filed a complaint challenging the decision of the 

Commissioner of Social Security (“the Commissioner”) to deny her benefits, along with an 

application to proceed in forma pauperis. ECF Nos. 1 & 2. Plaintiff’s affidavit in support of her 

in forma pauperis application is blank and does not specify whether plaintiff has any income or 

receives money from any other sources. ECF No. 2. 

 Pursuant to federal statute, a filing fee of $350.00 is required to commence a civil action 

in federal district court. 28 U.S.C. § 1914(a). The court may authorize the commencement of an 

action “without prepayment of fees and costs or security therefor, by a person who makes 

affidavit that he is unable to pay such costs or give security therefor.” 28 U.S.C. § 1915(a). 

Plaintiff has submitted a blank affidavit that includes no information regarding what income, if 

any, she derives from what sources. ECF No. 2. Accordingly, plaintiff has made an inadequate 

Case 2:15-cv-00791-AC Document 3 Filed 04/15/15 Page 1 of 2
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showing of indigency. See, e.g., Thompson v. United States, 103 Fed. Cl. 16, 18–19 (2011) 

(citing 28 U.S.C. § 1915(a)(1)). Plaintiff will therefore be granted twenty days in which to 

submit either the appropriate filing fee to the Clerk of the Court or a second application to 

proceed in forma pauperis. If plaintiff decides to file a second application to proceed in forma 

pauperis she must complete the form in full. Plaintiff is cautioned that failure to pay the fee or 

file a second application to proceed in forma pauperis will result in a recommendation that the 

instant action be dismissed with prejudice. 

 Accordingly, IT IS HEREBY ORDERED that, within twenty days from the date of 

service of this order, plaintiff shall submit the appropriate filing fee or file a second application to 

proceed in forma pauperis. 

DATED: April 14, 2015 

Case 2:15-cv-00791-AC Document 3 Filed 04/15/15 Page 2 of 2