Civil Rights Complaint Pursuant To 42 USC 1983
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Civil Rights Complaint Pursuant To 42 USC 1983 Form. This is a New York form and can be use in District Court Federal.
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Tags: Civil Rights Complaint Pursuant To 42 USC 1983, E(1)(a), New York Federal, District Court
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF NEW YORK
Plaintiff(s)
vs.
Defendant(s)
)
)
)
)
)
)
)
Civil Case No.:
CIVIL
RIGHTS
COMPLAINT
PURSUANT TO
42 U.S.C. § 1983
Plaintiff(s) in the above-captioned action, allege(s) as follows:
JURISDICTION
1.
This is a civil action seeking relief and/or damages to defend and protect the rights
guaranteed by the Constitution of the United States. This action is brought pursuant to 42
U.S.C. § 1983. The Court has jurisdiction over this action pursuant to 28 U.S.C. §§
1331, 1343(3) and (4) and 2201.
PARTIES
2.
Plaintiff:
Address:
Additional Plaintiffs may be added on a separate sheet of paper.
3.
a.
Defendant:
Official Position:
Address:
FORM E(1)(a).1
5/2005
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b.
Defendant:
Official Position:
Address:
c.
Defendant:
Official Position:
Address:
Additional Defendants may be added on a separate sheet of paper.
4.
FACTS
Set forth the facts of your case which substantiate your claim of violation of your civil
and/or Constitutional rights. List the events in the order they happened, naming defendants
involved, dates and places.
Note: You must include allegations of wrongful conduct as to EACH and EVERY
defendant in your complaint. (You may use additional sheets as necessary).
FORM E(1)(a).2
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5.
CAUSES OF ACTION
Note: You must clearly state each cause of action you assert in this lawsuit.
FIRST CAUSE OF ACTION
SECOND CAUSE OF ACTION
THIRD CAUSE OF ACTION
6. Plaintiff(s) demand(s) a trial by
Jury - or - Court
(Circle only one).
FORM E(1)(a).3
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7.
PRAYER FOR RELIEF
WHEREFORE, plaintiff(s) request(s) that this Court grant the following relief:
I declare under penalty of perjury that the foregoing is true and correct.
DATED:
Signature of Plaintiff(s)
(all Plaintiffs must sign)
FORM E(1)(a).4
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