Charles Cromer v. Carrebello et al

Filing 14

ORDER Finding Certain Claims Cognizable; ORDER for Plaintiff to : (1) Notify the Court that he is willing to proceed only on the claim against Defendants Trevino, Ramos, Sheela and Htay for Deliberate Indifference to Serious Medical Needs in violatio n of the eighth amendment or (2) File a *Second Amended Complaint*; or (3) Notify the Court that he wishes to Stand on his Complaint, subject to dismissal of claims and Defendants consistent with this order, signed by Magistrate Judge Erica P. Grosjean on 02/06/2017. (Case Management Deadline: 30-Day Deadline) (Attachments: # 1 Amended Complaint Form)(Martin-Gill, S)

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Plaintiff’s Name____________________________  Inmate No.________________________________  Address __________________________________  _________________________________________                  _________________________________________    IN THE UNITED STATES DISTRICT COURT  FOR THE EASTERN DISTRICT OF CALIFORNIA                    (Name of Plaintiff)    vs.                        AMENDED CIVIL RIGHTS COMPLAINT UNDER:          42 U.S.C. 1983 (State Prisoner)          Bivens Action [403 U.S. 388 (1971)] (Federal Prisoner)   ________________________________________      _________________________________________      _________________________________________    _________________________________________    _________________________________________    _________________________________________                 (Names of all Defendants)    (Case Number)    I. Previous Lawsuits (list all other previous or pending lawsuits on additional page):    A.  Have you brought any other lawsuits while a prisoner?   Yes____  No____    B.  If your answer to A is yes, how many? _________         Describe previous or pending lawsuits in the space below.  (If more than one, attach additional page to continue  outlining all lawsuits in same format.)      1. Parties to this previous lawsuit:          Plaintiff _______________________________________________________________________              Defendants ____________________________________________________________________       ______________________________________________________________________________          2.  Court (if Federal Court, give name of District; if State Court, give name of County)  _________________________________________________________________________________      3.  Docket Number _____________________         4.  Assigned Judge _________________________      5. Disposition  (Was the case dismissed? Appealed?  Is it still pending?)      _________________________________________________________________________________        6.  Filing Date (approx.) _________________          7.  Disposition Date (approx.) ________________    II.  Exhaustion of Administrative Remedies  NOTICE:            Pursuant to the Prison Litigation Reform Act of 1995, A[n]o action shall be brought with respect to prison conditions      under [42 U.S.C. ' 1983], or any other Federal law, by a prisoner confined in any jail, prison, or other correctional facility until such  administrative remedies as are available are exhausted.@  42 U.S.C. ' 1997e(a).  Prior to filing suit, inmates are required to exhaust  the available administrative remedy process, Jones v. Bock, 549 U.S. 199, 211, 127 S.Ct. 910, 918‐19 (2007); McKinney v. Carey, 311  F.3d 1198, 1999 (9th Cir. 2002), and neither futility nor the unavailability of money damages will excuse the failure to exhaust, Porter  v. Nussle, 534 U.S. 516, 524, 122 S.Ct. 983, 988 (2002).  If the court determines that an inmate failed to exhaust prior to filing suit,  the unexhausted claims will be dismissed, without prejudice.  Jones, 549 U.S. at 223‐24, 127 S.Ct. at 925‐26. A.  Is there an inmate appeal or administrative remedy process available at your institution?             Yes_______  No______ B.  Have you filed an appeal or grievance concerning ALL of the facts contained in this complaint?          Yes______      No______    C.  Is the process completed?           Yes______    If your answer is yes, briefly explain what happened at each level.  ____________________________________________________________________________________________________________   ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________           No______    If your answer is no, explain why not.  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  III.  Defendants  List each defendant’s full name, official position, and place of employment and address in the spaces below.  If you need additional  space please provide the same information for any additional defendants on separate sheet of paper.    A.  Name _________________________________  is employed as ______________________________________________         Current Address/Place of Employment ___________________________________________________________________        B.  Name _________________________________ is employed as _______________________________________________             Current Address/Place of Employment ___________________________________________________________________        C.  Name _________________________________ is employed as _______________________________________________             Current Address/Place of Employment ___________________________________________________________________        D.  Name ________________________________ is employed as ________________________________________________             Current Address/Place of Employment ___________________________________________________________________        E.  Name ________________________________ is employed as ________________________________________________             Current Address/Place of Employment ___________________________________________________________________    IV. Causes of Action (You may attach additional pages alleging other causes of action and the facts supporting them if necessary.  Must be in same format outlined below.)  Claim 1:  The following civil right has been violated (e.g. right to medical care, access to courts, due process, free speech, freedom of  religion, freedom of association, freedom from cruel and unusual punishment, etc.):    ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  Supporting Facts (Include all facts you consider important to Claim 1. State what happened clearly and in your own words.  You need  not cite legal authority or argument. Be certain to describe exactly what each defendant, by name, did to violate the right alleged in  Claim 1.):   ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  Claim 2:  The following civil right has been violated (e.g. right to medical care, access to courts, due process, free speech, freedom of  religion, freedom of association, freedom from cruel and unusual punishment, etc.):    ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  Supporting Facts (Include all facts you consider important to Claim 2. State what happened clearly and in your own words.  You need  not cite legal authority or argument. Be certain to describe exactly what each defendant, by name, did to violate the right alleged in  Claim 2.):   ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  V. Relief  State briefly exactly what you want the court to do for you.  Make no legal arguments.  Cite no cases or statues.  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________  ____________________________________________________________________________________________________________    I declare under penalty of perjury that the foregoing is true and correct.    Date: ___________________         Signature of Plaintiff: _______________________________________________        (Revised 4/4/14)     

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