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Complaint For Violation Of Civil Rights (Pro Se) Form. This is a Tennessee form and can be use in USDC Eastern Federal.
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Tags: Complaint For Violation Of Civil Rights (Pro Se), Tennessee Federal, USDC Eastern
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
Index No.
Calendar No.
UNITED STATES DISTRICT COURT
:
JUDICIAL
Plaintiff(s)
EASTERN DISTRICT OF TENNESSEE SUBPOENA
-against- AT
:
:
)
:
)
Defendant(s)
:
......................................................
)
(Enter above the NAME of
the plaintiff in this action.)
THE PEOPLE OF THE STATE OF NEW YORK
v.
TO
)
)
)
)
GREETINGS:
)
WE COMMAND the NAME of
(Enter above YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable defendant in this action.)
at the
Court
each
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidenceFOR witness in this action on the partRIGHTS
as a VIOLATION OF CIVIL of the
COMPLAINT
(42 U.S.C. Section 1983)
I. PREVIOUS LAWSUITSsubpoena is punishable as a contempt of court and will make you liable to
Your failure to comply with this
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
A. Have you begun other lawsuits in state or federal court
result of your failure to comply.
dealing with the same facts involved in this action or
otherwise relating to your imprisonment? YES( ) NO( )
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, YES, describe the lawsuit in the
B. If your answer to A is20
space below. (If there is more than one lawsuit, describe
the additional lawsuits on another piece of paper, using
the same outline.)
(Attorney must sign above and type name below)
1.
Parties to the previous lawsuit:
Plaintiffs
Attorney(s) for
Defendants
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
Index No.
:
:
Plaintiff(s)
2.
-against-
Calendar No.
JUDICIAL SUBPOENA
:
COURT (If federal court, name the district; if state
court, name the county):
:
:
3. DOCKET NUMBER:
Defendant(s)
:
......................................................
4.
Name of Judge to whom case was assigned:
THE PEOPLE OF THE STATE OF NEW YORK (For example:
5. Disposition:
Was the case dismissed?
Is it still pending?)
Was it appealed?
TO
6.
Approximate date of filing lawsuit:
7.
GREETINGS:
Approximate date of disposition:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at CONFINEMENT:
County of
II. PLACE OF PRESENT
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of in this
the
A. Is there a prisoner grievance procedure
institution?
YES ( )
NO ( )
B. Did you present the facts relating to your complaint in the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
state subpoena was issued for a maximum penalty of YES ( ) NO sustained as a
the party on whose behalf this prisoner grievance procedure? $50 and all damages( )
result of your failure to comply.
C. If your answer is YES,
Witness, Honorable
1. What steps did you take?
Court in
County,
day of
, 20
2.
What was the result?
, one of the Justices of the
(Attorney must sign above and type name below)
D.
If your answer to B is NO,Attorney(s) forwhy not.
explain
E.
If there is no prison grievance procedure in the
institution, did you complain to P.O. Address
Office and prison authorities?
YES ( ) NO ( )
F.
If your answer is YES,
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
1.
What steps did you take?
:
Plaintiff(s)
-against-
2.
What was the result?
Index No.
Calendar No.
JUDICIAL SUBPOENA
:
:
2
:
Defendant(s)
:
......................................................
III.
PARTIES
(In item A below, place your name in the first blank and place
Do the same for any
additional plaintiffs.)
THE PEOPLEyour present address in the second blank.
OF THE STATE OF NEW YORK
TO
A.
Name of plaintiff:
Present address:
GREETINGS:
Permanent home address:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
20
, at
noon, and at any recessed
Addressday of nearest , relative: o'clock in the
of
or adjourned date, to testify and give evidence as a witness in this action on the part of the
(In item B below, place the FULL NAME of the defendant in the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
first blank, his official position penalty of $50 and all damages and his
the party on whose behalf this subpoena was issued for a maximum in the second blank, sustained as a
result of yourplacetoof employment in the third blank. Use item C for the
failure comply.
additional names, positions, and places of employment of any
additional defendants.)
Witness, Honorable
Court in
County,
B. Defendant: day of
, one of the Justices of the
, 20
Official position:
Place of employment:
C.
(Attorney must sign above and type name below)
Additional Defendants:
Attorney(s) for
Office and P.O. Address
IV.
STATEMENT OF CLAIM
Telephone the
(State here as briefly as possible No.: FACTS of your case.
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
Index No.
Calendar No.
Describe how EACH defendant is involved. Include also the
:
JUDICIAL places.
Plaintiff(s)
names of other persons involved, dates and SUBPOENADO NOT
give any legal arguments or cite any cases or statutes. If
-against:
you intend to allege a number of related claims, number and
set forth each claim in a separate paragraph. Use as much
:
space as you need. Attach extra sheets, if necessary.)
:
Defendant(s)
:
......................................................
3
THE PEOPLE OF THE STATE OF NEW YORK
TO
STATEMENT OF CLAIM (Continued)
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
Index No.
:
:
Plaintiff(s)
-against-
Calendar No.
JUDICIAL SUBPOENA
:
:
:
Defendant(s)
:
......................................................
THE PEOPLE OF THE STATE OF NEW YORK
TO
4
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
V.
RELIEF
located at
County of
in room
, on the
day of
, what at
, you want thethe
o'clock in Court to and atfor recessed
noon, do any you.
(State BRIEFLY exactly 20
or adjourned date, to testify No give evidence as a witness in this action oncases of thestatutes.)
and legal arguments. Cite No the part or
Make
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
SIGNED THIS
, one of the Justices of the
day of
, 20
DAY OF
(Attorney must sign above and type name below)
, 20
.
Attorney(s) for
Office and P.O. Address
SIGNATURE OF PLAINTIFF
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
:
Index No.
Calendar No.
I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND
:
JUDICIAL SUBPOENA
Plaintiff(s)
CORRECT.
-against-
:
:
DATE
SIGNATURE OF PLAINTIFF
:
Defendant(s)
:
......................................................
YOU ARE RESPONSIBLE FOR KEEPING THE COURT INFORMED IMMEDIATELY
OF ANY ADDRESS CHANGES. FAILURE TO PROVIDE YOUR CORRECT
ADDRESS TO THIS COURT WITHIN TEN (10) DAYS FOLLOWING ANY
THE PEOPLE OF THE STATE OF NEW YORK RESULT IN THE DISMISSAL OF THIS ACTION.
CHANGE OF ADDRESS WILL
TO
5
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
