Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_16-cv-00942/USCOURTS-caed-1_16-cv-00942-0/pdf.json

Parties Involved:
Commissioner of Social Security
Defendant
Maria Maldonado
Plaintiff

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UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

MARIA MALDONADO,

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

Case No. 1:16-cv-00942-SAB

ORDER REQUIRING PLAINTIFF TO FILE 

LONG FORM APPLICATION

(ECF No. 3)

TWENTY DAY DEADLINE

Plaintiff Maria Maldonado (“Plaintiff”) filed the complaint in this action on June 29, 

2016, along with an application to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. 

Plaintiff’s application demonstrates that she is receiving monetary assistance which is well above 

the poverty threshold for a family of one. (ECF No. 3.) Based upon the application presented, 

the Court is unable to determine if Plaintiff is entitled to proceed without prepayment of fees.

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. Plaintiff may obtain the form at http://www.uscourts.gov/forms/civil-forms.

Based upon the foregoing, it is HEREBY ORDERED that:

1. 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) complete and file the enclosed 

Case 1:16-cv-00942-SAB Document 4 Filed 07/05/16 Page 1 of 2
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Application to Proceed in District Court Without Prepaying Fees or Costs (Long 

Form) – AO 239; and

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

IT IS SO ORDERED.

Dated: July 5, 2016 

UNITED STATES MAGISTRATE JUDGE

Case 1:16-cv-00942-SAB Document 4 Filed 07/05/16 Page 2 of 2