Case 1:05-cv-00345-SLR Document 1-6 Filed 05/27/2005 Page 1 of 1
O IN THE UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF DELAWARE
Civil Action No. _;________ gi @
Claim # 4 Other Charges as Deemed Appropriate Once
Legal Counsel is Appointed
Other acts, which violated my civil rights (specified below)
1. Any and all other acts that was discriminatory towards the plaintiff and
infringed upon my civil rights that cannot be adequately stated until such
time as legal counsel is appointed.