Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_08-cv-02104/USCOURTS-caed-2_08-cv-02104-0/pdf.json

Nature of Suit Code: 550
Nature of Suit: Prisoner - Civil Rights (U.S. defendant)
Cause of Action: 42:1983 Prisoner Civil Rights

---

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

1

IN THE UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

RAFAEL LOPEZ,

Plaintiff, No. CIV S-08-2104 DAD

vs.

R. DION, et al.,

Defendants. ORDER

 /

Plaintiff, a state prisoner proceeding pro se, has filed a civil rights action pursuant

to 42 U.S.C. § 1983 together with an application to proceed in forma pauperis pursuant to 28

U.S.C. § 1915. Plaintiff has not submitted his in forma pauperis request on the form used by

this court. In addition, plaintiff’s in forma pauperis application is incomplete because plaintiff

did not provide a certificate that was signed by an authorized officer or attach a certified copy of

his prison trust account statement for the six-month period immediately preceding the filing of

the complaint in this action. See 28 U.S.C. § 1915(a)(2). 

Plaintiff’s request for leave to proceed in forma pauperis will be denied, and

plaintiff will be granted thirty days to submit a new request on a proper form. Plaintiff is

cautioned that the form includes a section that must be completed by a prison official, and the

/////

Case 2:08-cv-02104-RCF Document 4 Filed 09/25/08 Page 1 of 2
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

2

application form must be accompanied by a certified copy of plaintiff’s prison trust account

statement for the six-month period immediately preceding the filing of this action. 

Accordingly, IT IS HEREBY ORDERED that:

1. Plaintiff’s September 8, 2008 request for leave to proceed in forma pauperis

(Doc. No. 2) is denied without prejudice;

2. The Clerk of the Court is directed to send plaintiff an Application to Proceed

In Forma Pauperis By a Prisoner for use in a civil rights action; and

3. Plaintiff shall submit, within thirty days from the date of this order, a properly

completed application to proceed in forma pauperis on the form provided with this order and a

certified copy of plaintiff’s prison trust account statement for the six-month period immediately

preceding the filing of this action; plaintiff is cautioned that failure to comply with this order or

seek an extension of time to do so will result in a recommendation that this action be dismissed

without prejudice.

DATED: September 24, 2008.

DAD:4

lope2104.3d

Case 2:08-cv-02104-RCF Document 4 Filed 09/25/08 Page 2 of 2