Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-3_19-cv-05805/USCOURTS-cand-3_19-cv-05805-0/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

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

RONALD BENNETT,

Plaintiff,

v.

COMMISSIONER OF SOCIAL 

SECURITY,

Defendant.

Case No. 19-cv-05805-SI 

ORDER TO SHOW CAUSE

On September 17, 2019, plaintiff Ronald Bennett, who is represented by counsel, filed this 

case to appeal the denial of his application for Social Security Disability Insurance and 

Supplemental Security Income. Dkt. No. 1. Plaintiff also attached to the complaint an application 

to proceed without prepayment of the court filing fees. See Dkt. No. 1-2. The Clerk’s Office

instructed plaintiff that applications to proceed without prepayment of fees must be filed separately 

from the complaint, and plaintiff re-filed his application on September 22, 2019. Dkt. No. 4. On

September 25, 2019, the Clerk’s Office issued a notice that plaintiff had used an outdated application 

to proceed in forma pauperis (“IFP”) and instructed plaintiff to use the form located on this District’s 

website at https://www.cand.uscourts.gov/civilforms. On October 4, 2019, the Clerk’s Office again 

contacted plaintiff’s counsel about re-filing the application with the correct form.

There are several problems with the IFP application that plaintiff filed. First, plaintiff used 

an outdated form, AO 240 (Rev. 12/03). See Dkt. No. 4 (emphasis added). Second, by failing to 

use the form on this District’s website, plaintiff omitted information that this District requires, such 

as his gross salary, whether he is married, and what his monthly expenses are. The Court cannot 

rule on plaintiff’s application until it has more complete information regarding plaintiff’s finances.

Case 3:19-cv-05805-SI Document 5 Filed 10/10/19 Page 1 of 2
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United States District Court

Northern District of California

As of the date of this Order, plaintiff has filed nothing further on the docket and has not 

responded to the Court’s inquiries. 

Accordingly, plaintiff is ORDERED TO SHOW CAUSE why his application to proceed 

IFP should not be denied. Plaintiff may show cause by filing a new, complete IFP application, 

using the form available on this District’s website, no later than October 24, 2019. Failure to 

file a full IFP application using the appropriate form by October 24, 2019, will result in the Court 

denying plaintiff’s application and ordering that plaintiff pay the court filing fee. 

IT IS SO ORDERED.

Dated: October 10, 2019

______________________________________

SUSAN ILLSTON

United States District Judge

Case 3:19-cv-05805-SI Document 5 Filed 10/10/19 Page 2 of 2