Brown v. King County Jail et al
Filing
44
ORDER denying Plaintiff's 41 Motion to amend and supplement complaint. If plaintiff wishes to pursue amendment of his complaint, he may file a new motion to amend and submit in conjunction with that motion a proposed amended complaint which clearly identifies each of the intended defendants, the federal constitutional right(s) allegedly violated by the conduct of each defendant, the facts which he believes support each alleged constitutional violation, and the relief being requested. Signed by Hon. James P. Donohue. (Attachments: # 1 1983 Prisoner Civil Rights Complaint Form)**6 PAGE(S), PRINT ALL**(Dranoel Brown, Prisoner ID: 314960)(PM)
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF WASHINGTON
____________________________________
(Name of Plaintiff)
CIVIL RIGHTS COMPLAINT
BY A PRISONER UNDER 42
U.S.C. ยง 1983
vs.
____________________________________
____________________________________
____________________________________
____________________________________
(Names of Defendant(s))
I. Previous Lawsuits:
A. Have you brought any other lawsuits in any federal court in the United States while a
prisoner?:
Yes
No
B. If your answer to A is yes, how many?:_________________. Describe the lawsuit in the space
below. (If there is more than one lawsuit, describe the additional lawsuits on another piece of
paper using the same outline.)
1. Parties to this previous lawsuit:
Plaintiff:________________________________________________________________
_______________________________________________________________________
Defendants:______________________________________________________________
________________________________________________________________________
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2. Court (give name of District):_________________________________________________
3. Docket Number: ______________________________________________________________
4. Name of judge to whom case was assigned: _____________________________________
5. Disposition (For example: Was the case dismissed as frivolous or for failure to state a claim?
Was it appealed? Is it still pending?):
______________________________________________________________________________
6. Approximate date of filing lawsuit: _______________________________________________
7. Approximate date of disposition: _________________________________________________
II. Place of Present Confinement:________________________________________________________
A. Is there a prisoner grievance procedure available at this institution?
Yes
No
B. Have you filed any grievances concerning the facts relating to this complaint?
Yes
No
If your answer is NO, explain why not:
______________________________________________________________________________
______________________________________________________________________________
C. Is the grievance process completed?
Yes
No
If your answer is YES, ATTACH A COPY OF THE FINAL GRIEVANCE
RESOLUTION for any grievance concerning facts relating to this case.
III. Parties to this Complaint
A. Name of Plaintiff: __________________________________ Inmate No.: ________________
Address: ______________________________________________________________________
(In Item B below, place the full name of the defendant, his/her official position, and his/her place
of employment. Use item C for the names, positions and places of employment of any additional
defendants. Attach additional sheets if necessary.)
B. Defendant: ___________________________________ Official Position: ________________
Place of employment: ____________________________________________________________
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C. Additional defendants__________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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IV. Statement of Claim
(State here as briefly as possible the facts of your case. Describe how each defendant is involved,
including dates, places, and other persons involved. Do not give any legal arguments or cite any
cases or statutes. If you allege a number of related claims, number and set forth each claim in a
separate paragraph. Attach additional sheets if necessary.)
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V. Relief
(State briefly exactly what you want the court to do for you. Make no legal arguments. Cite no
cases or statutes.)
_____________________________________________________________________________________
_____________________________________________________________________________________
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I declare under penalty of perjury that the foregoing is true and correct.
Signed this ________ day of ___________________ 20 ______.
_____________________________________________
(Signature of Plaintiff)
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