Document ID: s3://data.kl3m.ai/documents/govinfo/USCOURTS/USCOURTS-caed-1_15-cv-01928/USCOURTS-caed-1_15-cv-01928-0/pdf.json

Parties Involved:
Daniel Paris Ariziel
Plaintiff
Commissioner of Social Security
Defendant

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UNITED STATES DISTRICT COURT

EASTERN DISTRICT OF CALIFORNIA

DANIEL PARIS ARIZIEL,

Plaintiff,

v.

COMMISSIONER OF SOCIAL SECURITY,

Defendant.

Case No. 1:15-cv-01928-SAB

ORDER REQUIRING PLAINTIFF TO FILE 

LONG FORM IN FORMA PAUPERIS

APPLICATION

(ECF No. 2)

TWENTY DAY DEADLINE

Plaintiff Daniel Paris Ariziel (“Plaintiff”) filed the complaint in this action on December 

28, 2015 challenging the denial of his application for Social Security benefits. (ECF No. 1.) 

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 did not check the boxes indicating if he has received money 

from the different sources listed under item number 3.

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.

Based upon the foregoing, it is HEREBY ORDERED that:

1. The Clerk of the Court is directed to forward an Application to Proceed in District 

Case 1:15-cv-01928-SAB Document 3 Filed 12/31/15 Page 1 of 2
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Court Without Prepaying Fees or Costs (Long Form) – AO 239 to Plaintiff;

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) complete and file the enclosed 

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: December 30, 2015 

UNITED STATES MAGISTRATE JUDGE

Case 1:15-cv-01928-SAB Document 3 Filed 12/31/15 Page 2 of 2