Plaintiffs response in opposition to the county sheriff form
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IN THE DISTRICT COURT OF COUNTY
STATE OF OKLAHOMA
, )
Plaintiff, ) )
v. ) )
)
)
)
)
) Case No.
) (To be entered by
, ) Court Clerk)
Defendant(s). )
PETITION
Comes now the Plaintiff, , and alleges to the
Court as follows:1. The Plaintiff, , is an
(FULL NAME)
inmate confined in the penal facility located at (MAILING ADDRESS)
2. The Plaintiff 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," briefly 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," briefly explain:
NOTE: Attach additional pages to furnish the information above on each defendant.4. Jurisdiction:
5. Venue:
6. Briefly state the facts of the case:
7. (A) The Plaintiff 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 c ount
separately.)
8. I have filed other lawsuits in state or federal court dealing with the same fact s
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:Plaintiff(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 filing:
(F) Date of Disposition:
9. I have sought informal or formal relief from the appropriate administration officials
regarding the acts stated in allegation 8 of this Petition. Yes No . If your answer is "yes,"
briefly describe how relief was sought and the outcome of the proceedings. If your answer is
"no," briefly explain why administrative relief was not sought: 10. Relief requested:
11. I am representing myself. Yes No . If your answer is "no," please explain:
Plaintiff's signature
Plaintiff's 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
, )
Plaintiff, ) )
v. )
)
)
)
)
)
)
) Case No.
, )
Defendant(s). )
ORDER OF THE COURT
I, , the undersigned judge of the District Court of
County finds as follows:
The foregoing petition may be filed.
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 Plaintiff. The Court Clerk is directed to collect filing fees and court costs from the
Plaintiff. Court costs and filing fees are waived.
Date
Judge
CERTIFICATE OF MAILING
I, , Court Clerk/Deputy of County, do
hereby certify that on , 209 , the Petition filed by
, along with a copy of this order and the statute, were mailed to the Plaintiff at:
Court Clerk/Deputy
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