Nevada > Federal > District Court
Civil Rights Complaint Pursuant To 42 USC 1983 - Nevada
| Civil Rights Complaint Pursuant To 42 USC 1983 Form. This is a Nevada form and can be used in District Court Federal . |
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Name Prison Number UNITED STATES DISTRICT COURT DISTRICT OF NEVADA ,) Plaintiff, ) ) vs. ) CASE NO. ) (To be supplied by the Clerk) ,) ) , ) CIVIL RIGHTS COMPLAINT ) PURSUANT TO ,) 42 U.S.C. 1983 ) ,) ) ,) Defendant(s). ) A. JURISDICTION 1) This complaint alleges that the civil rights of Plaintiff, , (Print Plaintiffs name) who presently resides at , were violated by the actions of the below namindividuals which were directed againsted Plaintiff at on the following dates (institution/city where violation occurred) , , and . (Count I) (Count II) (Count III)<<<<<<<<<********>>>>>>>>>>>>> 2 Make a copy of this page to provide the below information if you are naming more than five (5) defendants2) Defendant resides at , (full name of first defendant) (address if first defendant) and is employed as . This defendant is sued in his/her (defendants position and title, if any) individual official capacity. (Check one or both). Explain how this defendant wasacting under color of law: 3) Defendant resides at , (full name of first defendant) (address if first defendant) and is employed as . This defendant is sued in his/her (defendants position and title, if any) individual official capacity. (Check one or both). Explain how this defendant wasacting under color of law: 4) Defendant resides at , (full name of first defendant) (address if first defendant) and is employed as . This defendant is sued in his/her (defendants position and title, if any) individual official capacity. (Check one or both). Explain how this defendant wasacting under color of law: 5) Defendant resides at , (full name of first defendant) (address if first defendant) and is employed as . This defendant is sued in his/her (defendants position and title, if any) individual official capacity. (Check one or both). Explain how this defendant wasacting under color of law: 2<<<<<<<<<********>>>>>>>>>>>>> 36) Defendant resides at , (full name of first defendant) (address if first defendant) and is employed as . This defendant is sued in his/her (defendants position and title, if any) individual official capacity. (Check one or both). Explain how this defendant wasacting under color of law: 7) Jurisdiction is invoked pursuant to 28 U.S.C. 1343 (a)(3) and 42 U.S.C. 1983. If you wishto assert jurisdiction under different or additional statutes, list them below. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - B. NATURE OF THE CASE1) Briefly state the background of your case. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - C. CAUSE OF ACTION 3<<<<<<<<<********>>>>>>>>>>>>> 4 COUNT I The following civil rights has been violated: Supporting Facts: [Include all fact you consider important. State the facts clearly, in your own words, and without citing legal authority or argument. Be sure you describe exactly what each specific deonsider important. State the facts clearly, 4<<<<<<<<<********>>>>>>>>>>>>> 5 COUNT IIThe following civil rights has been violated: Supporting Facts: [Include all fact you consider important. State the facts clearly, in your own words, and without citing legal authority or argument. Be sure you describe exactly what each specific deonsider important. State the facts clearly, 5<<<<<<<<<********>>>>>>>>>>>>> 6 COUNT IIIThe following civil rights has been violated: Supporting Facts: [Include all fact you consider important. State the facts clearly, in your own words, and without citing legal authority or argument. Be sure you describe exactly what each specific deonsider important. State the facts clearly, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - D. PREVIOUS LAWSUITS AND ADMINISTRATIVE RELIEF1) Have you filed other actions in state or federal courts involving the same or similar facts as involved in this action? Yes No. If your answer is Yes, describe each lawsuit. (If more than one, describe the others on an additional page following the below 6<<<<<<<<<********>>>>>>>>>>>>> 7 outline). a) Defendants: b) Name of court and docket number: c) Disposition (for example, was the case dismissed , appealed or is it still pending?): d) Issues raised: e) Approximate date it was filed: f) Approximate date of disposition: 2) Have you filed an action in federal court that was dismissed because it was determined to be frivolous, malicious, or failed to state a claim upon which relief could be granted? Yes No. If your answer is Yes, describe each lawsuit. (If you had more than three actions dismissed based on the above reasons, describe the others on an additional page following the below outline.) Lawsuit #1 dismissed as frivolous, malicious, or failed to state a claim: a) Defendants: . b) Name of court and case number: . c) The case was dismissed because it was found to be (check one): frivolous malicious or failed to state a claim upon which relief could be granted. d) Issues raised: e) Approximate date it was filed: f) Approximate date of disposition: Lawsuit #2 dismissed as frivolous, malicious, or failed to state a claim: a) Defendants: . b) Name of court and case number: . 7<<<<<<<<<********>>>>>>>>>>>>> 8 c) The case was dismissed because it was found to be (check one): frivolous malicious or failed to state a claim upon which relief could be granted. d) Issues raised: e) Approximate date it was filed: f) Approximate date of disposition: Lawsuit #3 dismissed as frivolous, malicious, or failed to state a claim: a) Defendants: . b) Name of court and case number: . c) The case was dismissed because it was found to be (check one): frivolous malicious or failed to state a claim upon which relief could be granted. d) Issues raised: e) Approximate date it was filed: f) Approximate date of disposition: 3) Have you attempted to resolve the dispute stated in this action by seeking relief from the proper administrative officials, e.g., have you exhausted available administrative grievance procedures? Yes No. If your answer is No, did you not attempt administrative relief because the dispute involved the validity of a: (1) disciplinary hearing; (2) state or federal court decision; (3) state or federal law or regulation; (4) parole board decision; or (5) other . If your answer is Yes, provide the following informtion. Grievance Numa ber . Date and institution where grievance was filed . Response to grievance: 8 <<<<<<<<<********>>>>>>>>>>>>> 9 - - - - - - - - - - - - - - - - - - - E. REQUEST FOR RELIEF I believe that I am entitled to the following relief: I underst
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