Opinion
ORDER
KENDALL J. NEWMAN, District Judge.
Plaintiff, a state prisoner proceeding pro se, has filed a civil rights action pursuant to 42 U.S.C. § 1983, together with a request for leave to proceed in forma pauperis pursuant to 28 U.S.C. § 1915. However, the certificate portion of the in forma pauperis application has not been filled out and signed by an authorized prison official. See 28 U.S.C. § 1915(a)(2). Indeed, page two of the application form was not included. Plaintiff will be provided another opportunity to submit a fully completed application to proceed in forma pauperis.
In accordance with the above, IT IS HEREBY ORDERED that:
1. The Clerk of the Court shall provide plaintiff with a copy of the in forma pauperis application used by this court; and
2. Plaintiff shall submit, within thirty days from the date of this order, a fully completed in forma pauperis application, including the certification by prison officials. Plaintiff's failure to comply with this order will result in a recommendation that this action be dismissed without prejudice.