Opinion
2:21-cv-08310-JFW-PD
03-24-2022
Catherine Alcantara, PLAINTIFF, v. Los Angeles Police Department, DEFENDANT(S).
CIVIL RIGHTS COMPLAINT PURSUANT TO (CHECK ONE)
[ ] 42 U.S.C. § 1983
[ ] Bivens v. Six Unknown Agents 403 U.S. 388 (1971)
A. PREVIOUS LAWSUITS
1. Have you brought any other lawsuits in a federal court while a prisoner: [ ] Yes [ ] No
2. If your answer to “1.” is yes, how many? __
Describe the lawsuit in the space below. (If there is more than one lawsuit, describe the additional lawsuits on an attached piece of paper using the same outline.)
a. Parties to this previous lawsuit:
Plaintiff __
Defendants __
b. Court __
c. Docket or case number __
d. Name of judge to whom case was assigned __
e. Disposition (For example: Was the case dismissed? If so, what was the basis for dismissal? Was it appealed? Is it still pending?) __
f. Issues raised: __
g. Approximate date of filing lawsuit: __
h. Approximate date of disposition __
B. EXHAUSTION OF ADMINISTRATIVE REMEDIES
1. Is there a grievance procedure available at the institution where the events relating to your current complaint occurred? [ ] Yes [ ] No
2. Have you filed a grievance concerning the facts relating to your current complaint? [ ] Yes [ ] No If your answer is no, explain why not __
3. Is the grievance procedure completed? [ ] Yes [ ] No
If your answer is no, explain why not __
4. Please attach copies of papers related to the grievance procedure.
C. JURISDICTION
This complaint alleges that the civil rights of plaintiff (print plaintiff's name) who presently resides at__, (mailing address or place of confinement) were violated by the actions of the defendant(s) named below, which actions were directed against plaintiff at (institution/city where violation occurred) on (date or dates) (Claim I) (Claim II) (Claim III)
NOTE: You need not name more than one defendant or allege more than one claim. If you are naming more than five (5) defendants, make a copy of this page to provide the information for additional defendants.
1. Defendant (full name of first defendant) resides or works at (full address of first defendant) (defendant's position and title, if any)
The defendant is sued in his/her (Check one or both): [ ] individual [ ] official capacity.
Explain how this defendant was acting under color of law:
2. Defendant (full name of first defendant) resides or works at (full address of first defendant) (defendant's position and title, if any)
The defendant is sued in his/her (Check one or both): [ ] individual [ ] official capacity.
Explain how this defendant was acting under color of law:
3. Defendant (full name of first defendant) resides or works at (full address of first defendant) (defendant's position and title, if any)
The defendant is sued in his/her (Check one or both): [ ] individual [ ] official capacity.
Explain how this defendant was acting under color of law:
4. Defendant (full name of first defendant) resides or works at (full address of first defendant) (defendant's position and title, if any)
The defendant is sued in his/her (Check one or both): [ ] individual [ ] official capacity.
Explain how this defendant was acting under color of law:
5. Defendant (full name of first defendant) resides or works at (full address of first defendant) (defendant's position and title, if any)
The defendant is sued in his/her (Check one or both): [ ] individual [ ] official capacity.
Explain how this defendant was acting under color of law:
D. CLAIMS*
CLAIM I
The following civil right has been violated:
Supporting Facts: Include all facts you consider important. State the facts clearly, in your own words, and without citing legal authority or argument. Be certain you describe, in separately numbered paragraphs, exactly what each DEFENDANT (by name) did to violate your right.
*If there is more than one claim, describe the additional claim(s) on another attached piece of paper using the same outline.
E. REQUEST FOR RELIEF
I believe that I am entitled to the following specific relief:
(Date)(Signature of Plaintiff)