Case 4:13-cv-01149-CKJ Document 1 Filed 09/13/13 … · Case 4:13-cv-01149-CKJ Document 1 Filed...

Case 4:13-cv-01149-CKJ Document 1 Filed 09/13/13 of 21

'

---FILED --RECEIVED=

S1cPI¥.Al '""'!IS Rl rQT:SI: I I - ;z353iS s SEP 1 3 2013 s

Name and Prisoner/Booking Number

ARizoliA STAT!: Pttt~N ComfLa-J"i,c;op Place of Confinement

PoST OFF.:R'e ta,ox. ~ P+o l Mailing Address

DISTRICT OFTRAICT COURT BY= RIZONA

==::::-::::==::;:::;=--DEPUTY

CLERK Us DIS

"TtJC.SON, M+UMI'f 1r5'134-Y'+Ot City, State, Zip Code

(Failure to notify the Court of your change of address may result in dismissal of this action.)

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF ARIZONA

~TEPHG.N ("\ ) ' Lo< II5 n.UOISI l L , ) (Full Name ofP!aintift)

Plaintiff, c leV 13~- 114 9 TUC CKJ vs. ) CASE NO.------------

) (1) CHAB.LG:S R~AN ) (Full Name ofDefendant) )

.~,==.(2)~R ....... oi!....I!!I~II;L40E"""'"'B~T......___.__P.L.JI«l"--LT--l!I-3oo~£..LN~--' ) )

(3) THERESE. SC.HBoED£R , ) )

.!,...!.( 4),1...-.....MD,q_A-I.Lbf.._I__,A'--L..O!!!!Iol_L~UN~n:..Jo.,e~E.o..L:R-G.L----' ) Defendant( s). )

.!::::O::!-C-hec_k_if-there_are_a_ddi-·tio_nai_D_efe_nd_ants_an_d_attac_h p~ag_e 1_-A_Iis_tin_g th_em_. __ )

(To be supplied by the Clerk)

CIVIL RIGHTS COMPLAINT BY A PRISONER

:JUR.';! TR:s:Al DEP'\HJOED ~ Original Complaint D First Amended Complaint D Second Amended Complaint

A. JURISDICTION

1. This Court has jurisdiction over this action pursuant to: m28 u.s.c. § 1343(a); 42 u.s.c. § 1983 D 28 U.S.C. § 1331; Bivens v. Six Unknown Federal Narcotics Agents, 403 U.S. 388 (1971).

D Other:----------------------~-----

2. Institution/city where violation occurred: ARI2cuA STAT~ P.U:SDN Ct>tn,pl ex-T\l<:SOJJ .

Revised 5/1/2013 1 550/555

Case 4:13-cv-01149-CKJ Document 1 Filed 09/13/13 of 21,.

B. DEFENP.ANTS

1. .. Name offrrst.Defendarit: ..... C.~ltl..JAI....!..LR~L ... E-.5-.J.l---l.R-31,d~LA:LJWLX-_· ___ . The first Defendant is ~mployed as . ttt.SEc:roB, . at BRrZCWA D,f;PAErrlnfWT oF <!Ot<:eFcm>/!5. (Position_ and Tit0" (Institution) ·

2 .. · Nameofsecond0efendant: Rol3E«.T. 89TTON · .' ThesecondDef~ndant is employed as . . . DrlltSXON OrR,E-C.To~ at OP::Fe:.l\lDER OPE'S.ATIOI\}5 · .. (Position and Title) (Institution) ..

3. Name ofthird Defendant: THIZRE:S.E 5CHBt>G. QEf< . The third Defendant is e:rnployed as: WAt<Debl at6fa;:2.o.vA STATe' Pla;sot4 CNht?i..EK-Tve-st>tJ (Position and Title) (Institution)

4. Name offourth Defendant: DAN 'CAL L•m1Dt;E8G . The fourth Defendant is employed as ~D~E_.P~U~Ia..:H:!-'WLlo!. L~u.R~Ow.:E.........::!tJ,__ _______ atflRz:zaM STAT~ fRzsa.J Com.pl.IEX-'Jj !f£S &) (Position and Title) (Institution) ·

If you name more than four Defendants, answer the questions listed above .for each additional Defendant on a separate page.

C. PREVIOUS LA\VSUITS

1. · Have you filed any other lawsuits. while you were a prisoner? . · J81 Yes 0No 2: · If yes~ how .many lawsuits h~ve you f1I'ed? .1. · · .. Describe the previous 'lawsuits:

.·· ·. a. First prior lawsuit: . . . .. . · . 1. , Partie.s: SUP/IG:N i.o,n:.s li;looi?£ .· v. Ro-,~fi>r!.D t!hvJ-r~ :!AIL 2. Court and case ~umber: \).S. ·OtS,Wit;f; e,o,Jid: t,..J~ OtV~=asirl "F !st. C...•· . . 3. Result: .(Was the case dismissed? Was it appeakd? Is it still pending?)MeJb eA,.eiJf,/Jri ·· e~t61W~ L_q,d fieA,v,2:.E!. SeJ+I.oJ f4£.. /!4c:e. IAJ' I "0?-.g.~ C/MS- rtc·.Ji),J, : b. Second prior lawsuit:

1. Parties: NOT AP(]JTCAf3LG v. _____________ _ · 2. Court and case nuinber: -------------------------3. Result: (Was the case dismissed? \Vas it appealed? Is it still pending?) _______ _

c. Third prior lawsuit: 1. Parties: NDT APPLJ:C..AGLG. v. _____________ _ 2. Court and case number: ---------------...,.----------3. Result: (Was the case dismissed? Was it appealed? ~sit still pending?), _______ _

If you filed more than. three lawsuits, answer the questions listed above for each additional lawsuit on a separate page. . ' . .

2


D. CAUSE 01' ACTION

COUNTI · . 1. State the coustitutioual or other federal civil rigbtthat was vioJated: EQuA L. Pe.ar~c.rrocJ · OE 7#-le LQul., .fnshrcl i" tb~ FO«JdT€f#.ITJ.J /linAJDMfitlf oFtJ.S.CQdSl:itutiool ·

2. Count L Identify the issue involved. Check only oae. State additional issues in separate counts. 0 Basic necessities 0 Mail 0 Access to the court 0 Medical care D Disciplinary pr«)CPA:dings . 0 Property 0 Bx.ercise ~f re~ D Retaliation 0 Excessive force by an officer 0 Threat to safety ~Other: Rea A L DTSCgTJn'tplf'WlJL

3. Supportia.g Fa._ State as briefly as possible the FACTS supporting Count I. Descn"be exaCtly what· eaeb Defendant did Or did DOt do that viola~ your rights. State the facts clearly in your own words without citiDg legal auth~ or 8l'gUDleD.ts. · · . · LJ"kle, At.!i.zaM4 Sba-kr:(Ms•soJ tj'>mP/e;t.i-TtJr..SPtJ i'~ !tv·~4J=ecllN 7iJ<;SotJ, tt:Xz:w.~::J~~~);~~ M~f~~~G:t:::e!~ati~&:;~ex [b} :nu:.SocJ hov?AA APP&ox•"M4kl';1 ~Zoo T!JmAnfe.S•lNro.g:lecS ,uq-e,.. hovsecJ. iN et!jht(scJ SefAJl&ie, (tJ.att±s: l'<IjJCoA.I U6-,;t:. 1 LJ::z:Nc.H-ESTER U111tf1 S'&tTA R:J:D9 Uoa:J=, m-hAros's •~+•t.T. C.:rn~tasa Ob' u"xx, t,mgrszo&Jt; u~J;r.r1 c.oc J WI:f;' .a .. rd. IYldbiZAAiz:rA u,h:;r.

4. Injury. State bow you were injured by the actions or inactions of the Defendant(s).

==~~~~ . . (~ee. 1\-t-+~c. h) 5. Admiaistrative Remedies:

a. An, there any admiDistrative remedies (grievance pmced.ures or administrative appeals) available at your institutimi? · 1!. Yes 0 No

b. Did you submit a request for administrative relief on Count I? ~ Yes : D No ·c. Did you appeal your request for relief on Count I -rthe highest level? Ill Yes 0 No cL If you did nOt submit or appeal a request for administrative relief at any level, briefly explain why

you did not. NOT 8 pPl rcA S L E

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COUNTll 1. State the constitutional or other federal civil right that was violated: NO"! BPPLIC.AfALi:.

2. Count n. Identify the issue involved. Check only one. State additional issues in separate counts. 0 Basic necessities 0 Mail 0 Access to the court 0 Medical care 0 Disciplinary proceedings 0 Property D Exercise of religion D Retaliation 0 Excessive force by an officer 0 1breat to safety 0 Other:-------------

3. Supporting Facts. State as briefly as possible the FACTS supporting Count IT. Describe exactly what each Defendant did or did not do that violated your rights. State the facts clearly in your own words without citing legal authority or arguments. ·

~JOT APPLICABlE

4. Injury. State how you were injured by the actions or inactions of the Defendant(s). l"tQT APPt IC Bt3 LE

5. Administrative Remedies. a. Are there any administrative remedies (grievance procedures or administrative appeals) available

at your institution? D Yes 0 No b. Did you submit a request for administrative relief on Count II? 0 Yes 0 No c. Did you appeal your request for relief on Count II to the highest level? 0 Yes D No d. If you did not submit or appeal a request for administrative relief at any level, briefly explain why

youdidnot. NOT APfL:CCIII!JLfi

4


1. COUNT Ill

State the constitutional or other federal civil right that was violated: NOT APPLrf>.ABJC.

2. Count m. Identify the issue involved. Check only one. State additional issues in separate counts. 0 Basic necessities 0 Mail 0 Access to the court 0 Medical care 0 Disciplinary proceedings 0 Property 0 Exercise of religion 0 Retaliation 0 Excessive force by an officer 0 Threat to safety 0 Other:-------------

3. Supporting Facts •. State as briefly as possible the FACTS supporting Count III. Describe exactly what each Defendant did or did not do that violated your rights. State the facts clearly in your own words without citing legal authority or arguments.

4. Injury. State how you were injured by the actions or inactions of the Defendant(s). NOT APPI ZCA8LP

5. Administrative Remedies. a. Are there any administrative remedies (grievance procedures or administrative appeals) available

at your institution? 0 Yes 0 No b. Did you submit a request for administrative relief on Count III? D Yes D No c. Did you appeal your request for relief on Count III to the highest level? 0 Yes 0 No d. If you did not submit or appeal a request fo.r administrative relief at any levelt briefly explain why

you did not. NOT A,pPL:C.C A l3 LE

If you assert more than three Counts. answer the questions listed above for each additional Count on a separate page.

5


E. REQUEST FOR RELIEF

State the relief you are seeking: WHEBE.FORE., fl&fN=I=i« £e.sPec:t.£vll';;1 PBA~ +hAt:. +ht5 CapR=t. ew+e.s. :ti~me.«Yt:

I declare under penalty of perjury that the foregoing is true and correct.

Executed on Sep+embe.A I l1 G2_o 13 DATE

NOT APfl ICAI!JLE. (Name and title of paralegal, legal assistant, or other person who helped prepare this complaint)

NOT APPLIC.AGL E (Signature of attorney, if any)

(Attorney's address & telephone number)

ADDITIONAL PAGES

Skfi.IM~ L , ~'4'; Q.Q GNATURE OF PLAINTIFF

All questions must be answered concisely in the proper space on the form. If you need more space, you may attach no more than fifteen additional pages. But the form must be completely filled in to the extent applicable. If you attach additional pages, be sure to identify which section of the complaint is being continued and number all pages.

6

Case 4:13-cv-01149-CKJ Document 1 Filed 09/13/13 of 21• 1

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Case 4:13-cv-01149-CKJ Document 1 Filed 09/13/13 … · Case 4:13-cv-01149-CKJ Document 1 Filed...

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Transcript of Case 4:13-cv-01149-CKJ Document 1 Filed 09/13/13 … · Case 4:13-cv-01149-CKJ Document 1 Filed...