McDonald v. Dunham et al

Filing 5

ORDER directing plaintiff to complete and return the attached addendum to 1 Complaint Referred (42:1983) filed by Jessy L. McDonald, . Signed by Judge Beverly Stites Jones on 8/15/06. (ct)

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McDonald v. Dunham et al Doc. 5 Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 1 of 14 IN THE UNITED STATES DISTRICT COURT WESTERN DISTRICT OF ARKANSAS FAYETTEVILLE DIVISION JE S S Y L. McDONALD v. MATTHEW DUNHAM, O fficer Washington County D e ten tio n Center; and the WA S H IN G T O N COUNTY D E T E N T IO N CENTER C iv il No. 06-5141 PLAINTIFF D E FE N D A N T S ORDER Plaintiff's complaint was filed in this case on July 31, 2006. Before the undersigned is the issue of whether the complaint should be served. In order to assist the court in making such determination, it is necessary that plaintiff provide additional information. Accordingly, it is ordered that plaintiff, Jessy Lee McDonald, complete and sign the attached addendum to his complaint, and return the same to the court by September 14, 2006. Plaintiff is advised that should he fail to return the completed and executed addendum by September 14, 2006, his complaint may be dismissed without prejudice for failure to prosecute and/or for failure to obey an order of the court. IT IS SO ORDERED this 15th day of August 2006. /s/ Beverly Stites Jones UNITED STATES MAGISTRATE JUDGE -1 - AO72A (Rev. 8/82) Dockets.Justia.com Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 2 of 14 IN THE UNITED STATES DISTRICT COURT WESTERN DISTRICT OF ARKANSAS FAYETTEVILLE DIVISION JE S S Y L. McDONALD v. MATTHEW DUNHAM, O fficer Washington County D e ten tio n Center; and the WA S H IN G T O N COUNTY D E T E N T IO N CENTER C iv il No. 06-5141 PLAINTIFF D E FE N D A N T S ADDENDUM TO COMPLAINT TO: JESSY L. McDONALD This form is sent to you so that you may assist the court in making a determination as to the issue of whether the complaint should be served upon the defendants. Accordingly, it is required that you fill out this form and send it back to the court by September 14, 2006 Failure to do so will result in the dismissal of your complaint. The response must be legibly handwritten or typewritten, and all questions must be answered completely in the proper space provided on this form. If you need additional space, you may attach additional sheets of paper to this addendum. RESPONSE In your complaint, you allege that you were ordered by the doctor to keep your mattress and receive medication. However, you state you were told you would not be allowed to keep your mattress. You state you have not been allowed health care more than once. You also indicate you were beaten by Officer Dunham. Finally, you state that no one will return any of your grievances. -2 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 3 of 14 1. Please provide the dates of your incarceration at the Washington County Detention Center (WCDC). Answer: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2. Are you incarcerated solely because of pending criminal charges? Answer: Yes __________ No ____________. If you answered no, please indicate if you are serving a sentence, your probation, parole, or supervised release has been revoked or why you are incarcerated. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ____________________________________________________________________________ 3. You indicate you were told by the doctor to keep your mattress and your medicine. Please state: (a) when you saw the doctor; (b) what medical condition you have; (c) why the doctor said you should keep your mattress; (d) what medicine you are referring to; and (e) whether you have received the medicine. Answer: ___________________________________________________________________________ ___________________________________________________________________________ -3 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 4 of 14 ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ 4. Please state: (a) when your mattress was taken away; (b) who took it away; (c) whether you have a bunk or mattress to sleep on; and (d) if you have a blanket. Answer: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ -4 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 5 of 14 ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 5. You allege you were only allowed health care one time. (A). Have you submitted any written requests for medical care? Answer: Yes _________ No __________. If you answered yes, please state how many requests you have written and what response you have received to the requests. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ If you answered no, please state why you have not submitted written requests for medical care. -5 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 6 of 14 ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (B). Have you been seen by the jail doctor or jail nurse? Answer: Yes __________ No __________. If you answered yes, please state: (a) who you were seen by; (b) how many times you were seen; and (c) what treatment you received. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (C). Do you contend the jail doctor or jail nurse have been deliberately indifferent to your serious medical needs? Answer: Yes _________ No ___________. -6 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 7 of 14 If you answered yes, please provide the name of the jail doctor and/or jail nurse and state how you believe each has exhibited deliberate indifference to your serious medical needs. Also indicate what your serious medical needs are. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ If you answered no, please state who you believe has been denying you medical care and how he or she has been denying you medical care. ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ -7 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 8 of 14 ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 6. You indicate Officer Dunham beat you. (A). Please state the date and time he beat you. Answer: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ____________________________________________________________________________ (B). Please describe what was occurring when he beat you. Answer: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ____________________________________________________________________________ -8 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 9 of 14 ___________________________________________________________________________ (C). Were you refusing to obey orders or resisting in anyway at the time? Answer: Yes ________ No __________. If you answered yes, please describe how you were refusing to obey orders or resisting. ___________________________________________________________________________ ___________________________________________________________________________ ____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (D). Were you charged with a crime or a disciplinary violation as a result of your conduct? Answer: Yes __________ No __________. If you answered yes, please state: (a) what crime you were charged with or disciplinary violation you were charged with; (b) whether you pled guilty or were found guilty; and (c) what punishment you received. ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ -9 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 10 of 14 ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (E). Please describe the force Officer Dunham used against you. Answer: ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (F). Did you sustain any physical injuries as a result of the use of force? Answer: Yes ________ No _________. -1 0 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 11 of 14 If you answered yes, please describe: (a) the injuries you suffered; (b) the symptoms you experienced; (c) whether you sought, or received, medical care as a result of the injuries; and (d) how long it took you to recover from the injuries. ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 7. The WCDC is a building and not a person subject to suit under 1983. Are there individuals other than Officer Dunham you intended to name as defendants? Answer: Yes _________ No _________. -1 1 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 12 of 14 If you answered yes, please list each individual you intended to name as a defendant and state how he or she violated your federal constitutional rights. ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ -1 2 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 13 of 14 ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 8(A). Are you able to submit grievances? Answer: Yes __________ No ___________. If you answered no, please state what you mean when you allege your grievances are not returned. ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ (B). Please state how you believe the fact that your grievances are not returned violates your federal constitutional rights. Answer: ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ -1 3 - AO72A (Rev. 8/82) Case 5:06-cv-05141-JLH-JRM Document 5 Filed 08/15/2006 Page 14 of 14 ___________________________________________________________________________ ___________________________________________________________________________ _____________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ I CERTIFY THAT THE INFORMATION CONTAINED HEREIN IS COVERED BY THE VERIFICATION MADE BY ME ON MY INITIAL COMPLAINT. _________________________________________ JESSY L. McDONALD _________________________________________ DATE -1 4 - AO72A (Rev. 8/82)

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