Jeremiah Young v. Barbara P. Gorman, et al.

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION AT DAYTON JEREMIAH YOUNG, : Case No. 3:26-cv-43 : Plaintiff, : : District Judge Michael J. Newman vs. : Magistrate Judge Peter B. Silvain, Jr. : BARBARA P. GORMAN, et al., : : Defendants. : : DEFICIENCY ORDER Plaintiff, a prisoner at the Marion Correctional Institution, has filed a motion for leave to proceed in forma pauperis in connection with a civil rights complaint. (Doc. #1). However, Plaintiff’s motion is incomplete and is not made on this Court’s official form for incarcerated persons. Id. Pursuant to the Prison Litigation Reform Act of 1995 (PLRA), 28 U.S.C. § 1915(a)-(h), a prisoner seeking to bring a civil action without prepayment of fees or security therefor must submit an application and affidavit to proceed without prepayment of fees and a certified copy of their trust fund account statement (or institutional equivalent) for the six-month period immediately preceding the filing of the complaint obtained from the cashier of the prison at which the prisoner is or was confined. 28 U.S.C. § 1915(a)(2). In this case, Plaintiff did not complete this Court’s official form for incarcerated persons, and his motion does not include either a “Certificate” page (page 8 of the Application and Affidavit By Incarcerated Person to Proceed Without Prepayment of Fees form that is used in this Court, completed and signed by the institutional cashier) or a certified account statement.

Accordingly, should Plaintiff wish to proceed with this matter, Plaintiff is ORDERED to, within thirty (30) days of the date of this Order, pay $405 ($350 filing fee plus $55 administrative fee) or submit a completed Application and Affidavit By Incarcerated Person to Proceed Without Prepayment of Fees form, including a “Certificate” page (page 8 of the Application and Affidavit By Incarcerated Person to Proceed Without Prepayment of Fees form that is used in this Court, completed and signed by the institutional cashier), and a certified copy of his prison trust fund account statement (or institutional equivalent) for the preceding six-month period.

If Plaintiff fails to comply with this Order, the Court shall dismiss his case for want of prosecution. In re Prison Litigation Reform Act, 105 F.3d 1131 (6th Cir. 1997). If Plaintiff’s case is dismissed for failure to comply with this Order, the case will not be reinstated to the Court’s active docket despite the payment of the filing fee. Id. Should Plaintiff need additional time to comply with this Order, he should file a motion for an extension of time.

The CLERK OF COURT is DIRECTED to provide Plaintiff with an Application and Affidavit By Incarcerated Person to Proceed Without Prepayment of Fees form.

The CLERK OF COURT is further DIRECTED to send a copy of this Order to the cashier of the institution at which Plaintiff is confined.

IT IS SO ORDERED.

February 23, 2026 s/Peter B. Silvain, Jr. Peter B. Silvain, Jr. United States Magistrate Judge