Source: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_16-cv-00801/USCOURTS-caed-1_16-cv-00801-0/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

EASTERN DISTRICT OF CALIFORNIA

CHARLES RAY GREENLEA,

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

Case No. 1:16-cv-00801-SAB

ORDER REQUIRING PLAINTIFF TO FILE 

LONG FORM APPLICATION

(ECF NO. 2)

TWENTY DAY DEADLINE

Plaintiff Charles Ray Greenlea filed a complaint on June 9, 2016 challenging the 

Commissioner’s denial of Social Security benefits. Plaintiff did not pay the filing fee in this 

action and instead filed an application to proceed in forma pauperis pursuant to 28 U.S.C. § 

1915. However, Plaintiff’s application was not adequately completed. Plaintiff appeared to 

respond that he was receiving money from business, profession or other self-employment, but no 

such income is reported. 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.

Accordingly, IT IS HEREBY ORDERED that:

1. The Clerk of the Court is directed to forward an in forma pauperis

application(Long Form) to Plaintiff;

Case 1:16-cv-00801-DAD-SAB Document 4 Filed 06/14/16 Page 1 of 2
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2. Within twenty (20) days of the date of this order, Plaintiff shall either (1) pay the 

$400.00 filing fee for this action, or (2) file an application to proceed in forma

pauperis without prepayment of the fee; and

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

IT IS SO ORDERED.

Dated: June 13, 2016 

UNITED STATES MAGISTRATE JUDGE

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