Free Civil Rights Complaint Pursuant to 42 - New York


File Size: 35.1 kB
Pages: 4
Date: March 16, 2007
File Format: PDF
State: New York
Category: Court Forms - Federal
Author: tester
Word Count: 276 Words, 1,713 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.nynd.uscourts.gov/documents/CivilRightsComplaintPursuantto42USC1983.pdf

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Preview Civil Rights Complaint Pursuant to 42
UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF NEW YORK ) ) ) ) ) ) )

Plaintiff(s) vs.

Civil Case No.: CIVIL RIGHTS COMPLAINT PURSUANT TO 42 U.S.C. 1983

Defendant(s)

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:

5/2005

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).

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).

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)