UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK -------------------------------------------------------------------X For Online Publication Only MARCIA MILIANO,

Plaintiff, ORDER -against- 23-CV-00031 (JMA) (SIL) FILED THE DEPARTMENT OF LABOR, CLERK 1:35 pm, Feb 23, 2023 Defendant. ------------------------------------------------------------------X U.S. DISTRICT COURT AZRACK, United States District Judge: EASTERN DISTRICT OF NEW YORK LONG ISLAND OFFICE Before the Court is the in forma pauperis (“IFP”) application filed by pro se plaintiff Marcia Miliano (“Plaintiff”). (ECF No. 2.) For the following reasons, Plaintiff’s application is denied without prejudice and with leave to renew upon completion of the AO 239 Long Form IFP application (“Long Form”) attached to this Order. Alternatively, Plaintiff may remit the $402.00 filing fee. The purpose of the IFP statute is to ensure that indigent persons have equal access to the judicial system. See Davis v. NYC Dep’t of Educ., No. 10-CV-3812,

, at *1 (E.D.N.Y. Aug. 27, 2010) (citation omitted). To qualify for IFP status, the Supreme Court has long held that “an affidavit is sufficient which states that one cannot because of his poverty pay or give security for the costs [inherent in litigation] and still be able to provide himself and dependents with the necessities of life.” Adkins v. E.I. Du Pont De Nemours & Co.,

(1948) (internal quotation marks omitted). The determination of whether an applicant qualifies for IFP status is within the discretion of the district court. DiGianni v. Pearson Educ., 10-CV-0206,

, at *1 (E.D.N.Y. Apr. 30, 2010) (citation omitted). The court may dismiss a case brought by a plaintiff requesting to proceed IFP if the “allegation of poverty is untrue.”

(e)(2)(A). Plaintiff’s IFP application to proceed, filed together with the complaint, does not include sufficient information concerning Plaintiff’s financial position. Plaintiff reports that she has not received any income in the past 12 months yet reports having four financial dependents and regular monthly expenses that exceed $14,000. (ECF No. 2, ¶¶ 3, 6–7.) Plaintiff has left blank the

question that asks for the amount of money she has in cash or in an account, and she wrote “N/A” in response to the question that requests a description of any property owned and its approximate value. (Id. at ¶¶ 4–5.) Curiously, although Plaintiff does not report owning a car or cell phone, she does report regular monthly expenses for car insurance and cell phone service. (Id. at ¶¶ 5– 6.) Further, Plaintiff did not include how much she contributes towards the financial support for the four financial dependents she identified. (Id. at ¶ 7.) As is readily apparent, Plaintiff’s application raises more questions than it answers. Because the Court finds that Plaintiff can best set forth her current financial position on the Long Form, the present IFP application is denied without prejudice and with leave to renew on the Long Form within fourteen days from the date of this Order. Alternatively, Plaintiff may remit the

$402.00 filing fee.1 Plaintiff is warned that a failure to timely comply with this Order may lead to the dismissal of the complaint without prejudice for failure to prosecute pursuant to Federal Rule of Civil Procedure 41(b). The Court certifies pursuant to

(a)(3) that any appeal from this Order

1 Plaintiff is cautioned that there are no refunds of the filing fee, once paid, regardless of the outcome of the case. Accordingly, Plaintiff is well-advised to consider the substance of her complaint, the requirements of Federal Rule of Civil Procedure 8, and the subject matter jurisdiction of this Court. The Court notes that the letter upon which Plaintiff relies (and has annexed to her complaint) states: “This is NOT a decision on your eligibility for Unemployment Insurance Benefits.” (Compl., ECF No. 1 at 7.) Plaintiff is encouraged to avail herself of the free resources provided by the Pro Se Legal Assistance Program run by Hofstra Law School (the “Program”). Plaintiff may contact the Program by telephone at 631-297-2575 or by e-mail at [email protected]. 2 would not be taken in good faith and therefore IFP status is denied for the purpose of any appeal. See Coppedge v. United States,

, 444–45 (1962). The Clerk of the Court is respectfully directed to mail a copy of this Order to Plaintiff at her address of record. SO ORDERED.

Dated: February 23, 2023 Central Islip, New York

/s/ (JMA) JOAN M. AZRACK UNITED STATES DISTRICT JUDGE

3 Page 1 of 5 AO 239 (Rev. 01/15) Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form) UNITED STATES DISTRICT COURT for the

Plaintiff/Petitioner ) v. ) Civil Action No.

Defendant/Respondent ) APPLICATION TO PROCEED IN DISTRICT COURT WITHOUT PREPAYING FEES OR COSTS (Long Form)

Affidavit in Support of the Application Instructions I am a plaintiff or petitioner in this case and declare Complete all questions in this application and then sign it. that I am unable to pay the costs of these proceedings Do not leave any blanks: if the answer to a question is “0,” and that I am entitled to the reliefrequested. Ideclare “none,” or “not applicable (N/A),” write that response. If under penalty of perjury that the information belowis | you need more space to answer a question or to explain your true and understand that a false statement may resultin answer, attach a separate sheet of paper identified with your a dismissal of my claims. name, your case's docket number, and the question number. Signed: Date:

I. For both you and your spouse estimate the average amount of money received from each of the following sources during the past 12 months. Adjust any amount that was received weekly, biweekly, quarterly, semiannually, or annually to show the monthly rate. Use gross amounts, that is, amounts before any deductions for taxes or otherwise. Income source Average monthly income Income amount expected amount during the past 12 next month months

ee Ali pe soe

AO 239 (Rev. 01/15) Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form) Retirement (such as social security, pensions, annuities, $ $ $ $ insurance) Disability (such as social security, insurance payments) $ $ $ $ Unemployment payments $ $ $ $ Public-assistance (such as welfare) $ $ $ $ Other (specify): $ $ $ $ $ 0.00 $ 0.00 $ 0.00 $ 0.00 Total monthly income: 2. List your employment history for the past two years, most recent employer first. (Gross monthly pay is before taxes or other deductions.) Employer Address Dates of employment Gross monthly pay $ $ 3. List your spouse's employment history for the past two years, most recent employer first. (Gross monthly pay is before taxes or other deductions.) Employer Address Dates of employment Gross monthly pay $ $ $ 4. How much cash do you and your spouse have? $ Below, state any money you or your spouse have in bank accounts or in any other financial institution. Financial institution Type of account Amount you have Amount your spouse has $ $ $ $ $ $ If you are a prisoner, you must attach a statement certified by the appropriate institutional officer showing all receipts, expenditures, and balances during the last six months in your institutional accounts. If you have multiple accounts, perhaps because you have been in multiple institutions, attach one certified statement of each account. Page 3 of 5 AO 239 (Rev. 01/15) Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form) 5. List the assets, and their values, which you own or your spouse owns. Do not list clothing and ordinary household furnishings. Assets owned by you or your spouse

Make and year:

Registration #:

Make and year:

Registration #:

6. State every person, business, or organization owing you or your spouse money, and the amount owed. Person owing you or your spouse Amount owed to you Amount owed to your spouse money

7. State the persons who rely on you or your spouse for support. Name (or, if under 18, initials only) Relationship

AO 239 (Rev. 01/15) Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form) 8. Estimate the average monthly expenses of you and your family. Show separately the amounts paid by your spouse. Adjust any payments that are made weekly, biweekly, quarterly, semiannually, or annually to show the monthly rate. You Your spouse Rent or home-mortgage payment (including lot rented for mobile home) Are real estate taxes included? ’ Yes ’ No $ $ Is property insurance included? ’ Yes ’ No Utilities (electricity, heating fuel, water, sewer, and telephone) $ $ Home maintenance (repairs and upkeep) $ $ Food $ $ Clothing $ $ Laundry and dry-cleaning $ $ Medical and dental expenses $ $ Transportation (not including motor vehicle payments) $ $ Recreation, entertainment, newspapers, magazines, etc. $ $ Insurance (not deducted from wages or included in mortgage payments) Homeowner's or renter's: $ $ Life: $ $ Health: $ $ Motor vehicle: $ $ Other: $ $ Taxes (not deducted from wages or included in mortgage payments) (specify): $ $ Installment payments Motor vehicle: $ $ Credit card (name): $ $ Department store (name): $ $ Other: $ $ Alimony, maintenance, and support paid to others $ $ Page 5 of 5 AO 239 (Rev. 01/15) Application to Proceed in District Court Without Prepaying Fees or Costs (Long Form) Regular expenses for operation of business, profession, or farm (attach detailed $ statement)

Total monthly expenses: $ 0.005 0.00

Do you expect any major changes to your monthly income or expenses or in your assets or liabilities during the next 12 months? OYes ONo If yes, describe on an attached sheet. 10. Have you spent — or will you be spending — any money for expenses or attorney fees in conjunction with this lawsuit? □□ Yes OWNo If yes, how much? $ ii. Provide any other information that will help explain why you cannot pay the costs of these proceedings.

Identify the city and state of your legal residence.

Your daytime phone number: Your age: Your years of schooling: