Fill and Sign the Oklahoma Forms Civil

IN THE DISTRICT COURT OF COUNTY STATE OF OKLAHOMA , ) Plaintif, ) ) v. ) ) ) ) ) ) ) Case No. ) (To be entered by , ) Court Clerk) Defendant(s). ) PETITION Comes now the Plaintif, , and alleges to the Court as follows: 1. The Plaintif, , is an (FULL NAME) inmate confned in the penal facility located at (MAILING ADDRESS) 2. The Plaintif is a resident of the State of Oklahoma and has been for years. 3. (A) The Defendant, , is a citizen (NAME OF FIRST DEFENDANT) of , and is employed as . (CITY, STATE) (POSITION AND TITLE, IF ANY) The defendant resides at (MAILING ADDRESS) At the time the claim(s) alleged in this complaint arose, was this Defendant acting under color of state law? Yes No . If your answer is "yes," briefy explain: (B) The Defendant, , is a citizen (NAME OF SECOND DEFENDANT) of , and is employed as . (CITY, STATE) (POSITION AND TITLE, IF ANY) The defendant resides at (MAILING ADDRESS) At the time the claim(s) alleged in this complaint arose, was this Defendant acting under color of state law? Yes No . If your answer is "yes," briefy explain: NOTE: Attach additional pages to furnish the information above on each defendant. 4. Jurisdiction: 5. Venue: 6. Briefy state the facts of the case: 7. (A) The Plaintif alleges that the following constitutional rights, privileges or immunities have been violated: (List and designate each count separately.) (B) The following facts support the allegation above: (List and designate each count separately.) 8. I have fled other lawsuits in state or federal court dealing with the same facts involved in this action. Yes No If the answer if "yes," describe each lawsuit. (Please attach additional sheets of paper if needed to fully identify other lawsuits.) (A) Parties to the previous lawsuit: Plaintif(s): Defendant(s): (B) Name of court and case number: (C) Case status: Pending Relief granted Action dismissed On appeal Other, please specify: (D) Issues presented: (E) Date of fling: (F) Date of Disposition: 9. I have sought informal or formal relief from the appropriate administration ofcials regarding the acts stated in allegation 8 of this Petition. Yes No . If your answer is "yes," briefy describe how relief was sought and the outcome of the proceedings. If your answer is "no," briefy explain why administrative relief was not sought: 10. Relief requested: 11. I am representing myself. Yes No . If your answer is "no," please explain: Plaintiffs signature Plaintiffs address This form is to be used by an inmate of a penal institution, pursuant to 12 O.S. Supp. 2095 § 2003.1, for civil actions initiated against the State, the Department of Corrections, another state agency or political subdivision as set forth in 57 O.S. Supp. 2095 § 566. IN THE DISTRICT COURT OF COUNTY STATE OF OKLAHOMA , ) Plaintif, ) ) v. ) ) ) ) ) ) ) ) Case No. , ) Defendant(s). ) ORDER OF THE COURT I, , the undersigned judge of the District Court of County fnds as follows: The foregoing petition may be fled. The foregoing petition does not comply with the law for the following reasons: The Court Clerk is directed to return the Petition, along with a copy of 12 Oklahoma Statutes Supp. 2095 Section 2003.1, to the Plaintif. The Court Clerk is directed to collect fling fees and court costs from the Plaintif. Court costs and fling fees are waived. Date Judge CERTIFICATE OF MAILING I, , Court Clerk/Deputy of County, do hereby certify that on , 209 , the Petition fled by , along with a copy of this order and the statute, were mailed to the Plaintif at: Court Clerk/Deputy