Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-2_15-cv-00494/USCOURTS-caed-2_15-cv-00494-0/pdf.json

Parties Involved:
Debra M. Cornez
Defendant
Juan Padilla
Plaintiff

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UNITED STATES DISTRICT COURT

FOR THE EASTERN DISTRICT OF CALIFORNIA

JUAN PADILLA,

Plaintiff,

v.

DEBRA M. CORNEZ,

Defendant.

No. 2:15-cv-0494 DAD P

ORDER

Plaintiff, a civil committee proceeding pro se, has filed a civil rights action pursuant to 42 

U.S.C. § 1983 together with a request for leave to proceed in forma pauperis. Plaintiff has not 

submitted his in forma pauperis request on a proper form.

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 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 March 5, 2015 request for leave to proceed in forma pauperis (ECF No. 2) is 

denied without prejudice.

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Case 2:15-cv-00494-WBS-AC Document 4 Filed 03/17/15 Page 1 of 2
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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.

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; 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: March 16, 2015

hm

padi0494.3d

Case 2:15-cv-00494-WBS-AC Document 4 Filed 03/17/15 Page 2 of 2