Wisconsin > Federal > USDC Western
Pro Se Non Prisoner Complaint Package - Wisconsin
| Pro Se Non Prisoner Complaint Package Form. This is a Wisconsin form and can be used in USDC Western Federal . |
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PRO SE NON-PRISONER COMPLAINT PACKAGE Instructions - Read Carefully 1. Your complaint may be legibly handwritten or typewritten. In order for the United States District Court to consider this complaint, you must answer each question or fill in each blank clearly and simply. If you cannot finish an answer in the available space on the front of the page, you may continue the answer on another sheet of paper. If you continue an answer this way, make sure you identify clearly which question the continuation applies to. Prepare an original and an identical copy of your proposed complaint and all attachments or exhibits to your proposed complaint for; (1) (2) THE COURT YOURSELF 2. DO NOT MAIL A COPY OF YOUR COMPLAINT DIRECTLY TO ANY DEFENDANT(S). 3. Submit a check or money order in the amount of $350.00. Make the check or money order payable to the CLERK, U.S. DISTRICT COURT. If you cannot afford to prepay the fee, you must complete the affidavit of indigency (attached), declare it to be true and submit the affidavit with your proposed complaint. IT IS YOUR RESPONSIBILITY TO KEEP A COPY FOR YOUR OWN FILE OF EVERY DOCUMENT OR LETTER THAT YOU SEND TO THE COURT. Please be advised that is not the court's function to make or provide copies for litigants. Mail your proposed complaint, your check or money order or affidavit of indigency to: Clerk, U.S. District Court Western District of Wisconsin P.O. Box 432 Madison, WI 53701-0432 4. 5. (WDWI 8/2011) P:\Forms\42 USC 1983 American LegalNet, Inc. www.FormsWorkFlow.com IN THE UNITED STATES DISTRICT COURT FOR THE WESTERN DISTRICT OF WISCONSIN (Full name of plaintiff(s)) Case Number: vs (Supplied by clerk) (Full name of defendant(s)) COMPLAINT A. JURISDICTION 1._________________________________________________________, resides at (Plaintiff) _______________________________________, at __________________________________ (Address) (City, State) 2. Defendant ___________________________________________ is employed as (Name of First Defendant) ______________________________________ at ___________________________________ (Position and Title, if any) (Address) 3. Defendant ____________________________________________ is employed as (Name of Second Defendant) _____________________________________ at ___________________________________ (Position and Title, if any) (Address) (WDWI rev. 4/07 ) (Non-Prisoner Complaint) American LegalNet, Inc. www.FormsWorkFlow.com B. CAUSE OF ACTION On the space provided on the following pages, tell what specific incidents or conversations occurred which led you to believe your constitutional or federal rights have been or are presently being violated. IT IS IMPORTANT THAT THE ALLEGATIONS BE BRIEF, BUT SPECIFIC. Do not cite legal authorities, such as earlier court decisions or laws enacted by the legislature or Congress, to support your lawsuit at this early stage of your case. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (WDWI rev. 4/07 ) (Non-Prisoner Complaint) American LegalNet, Inc. www.FormsWorkFlow.com ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ________________________________________________________________________________ (WDWI rev. 4/07 ) (Non-Prisoner Complaint) American LegalNet, Inc. www.FormsWorkFlow.com C. REQUEST FOR RELIEF 1. I _______
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