Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-cand-4_15-cv-05609/USCOURTS-cand-4_15-cv-05609-1/pdf.json

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

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United States District Court

Northern District of California

UNITED STATES DISTRICT COURT

NORTHERN DISTRICT OF CALIFORNIA

DWAYNE ROBERTSON BURRELL,

Plaintiff,

v.

GREG LEWIS,

Defendant.

Case No. 15-cv-05609-HSG (PR) 

ORDER OF DISMISSAL WITH LEAVE 

TO AMEND

 Dwayne Robertson Burrell, an inmate at High Desert State Prison in Susanville, 

California, commenced this action by filing the court’s civil rights complaint form and naming as 

the defendant Greg Lewis, the former warden of Pelican Bay State Prison. Apart from signing and 

dating the form and naming his place of present confinement, Burrell left blank all other portions

of the form, including the portion in which he was directed to state his grounds for relief. 

Consequently, the document fails to state a claim for relief.

The “complaint” is dismissed with leave to amend. If Burrell wants to challenge a 

condition of his confinement, he should file a new civil rights complaint form and fill in all the 

information requested on that form. Failure to file a complete civil rights complaint form within 

thirty (30) days of the date of this order will result in the dismissal of this action. The Clerk of 

the Court shall send Burrell a blank civil rights form along with his copy of this order. 

IT IS SO ORDERED.

Dated:

HAYWOOD S. GILLIAM, JR.

United States District Judge

1/22/2016

Case 4:15-cv-05609-HSG Document 9 Filed 01/22/16 Page 1 of 1