UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK DALE ROBERTSON, Plaintiff, -against- 23-CV-4977 (JGK} JACQUELINE FLUERINORD; POLICE ORDER OF SERVICE OFFICERS JOHN DOE #1 TO #4; CITY OF NEW YORK; COUNTY OF WESTCHESTER, Defendants. JOHN G. KOELTL, United States District Judge: Plaintiff, who is appearing pro se, brings this action under 42 U.S.C, § 1983, alleging claims of false arrest, malicious prosecution, excessive force, and claims arising under state law, By order dated June 14, 2023, the Court granted Plaintiff's request to proceed in forma pauperis (IFP), that is, without prepayment of fees. Because Plaintiff has been granted permission to proceed IFP, he is entitled to rely on the Court and the U.S. Marshals Service to effect service.! Walker v. Schult, 717 F.3d. 119, 123 n.6 (2d Cir. 2013); see also 28 U.S.C. § 1915(d) (“The officers of the court shall issue and serve all process... in [IFP] cases.”); Fed, R. Civ. P, 4(c)}(3) (the court must order the Marshals Service to serve if the plaintiff is authorized to proceed IFP)). To allow Plaintiff to effect service on Defendants Westchester County, City of New York, and Jacqueline Fluerinord through the U.S. Marshals Service, the Clerk of Court is instructed to
' Although Rule 4(m) of the Federal Rules of Civil Procedure generally requires that summonses be served within 90 days of the date the complaint is filed, Plaintiff is proceeding IFP and could not have served the summonses and the complaint until the Court reviewed the compiaint and ordered that the summonses be issued. The Court therefore extends the tire to serve until 90 days after the date summonses are issued.
fill out a U.S. Marshals Service Process Receipt and Return forms (“USM-285 forms”) for these Defendants. The Clerk of Court is further instructed to issue a summons and deliver to the Marshals Service all the paperwork necessary for the Marshals Service to effect service upon Defendants. If the complaint is not served within 90 days after the date the summonses are issued, Plaintiff should request an extension of time for service. See Meilleur v. Strong, 682 F.3d 56, 63 (2d Cir. 2012) (holding that it is the plaintiff’s responsibility to request an extension of time for service), Plaintiff must notify the Court in writing if his address changes, and the Court may dismiss the action if Plaintiff fails to do so. A. Doe defendants Under Valentin v. Dinkins, a pro se litigant is entitled to assistance from the district court in identifying a defendant. 121 F.3d 72, 76 (2d Cir. 1997). In the complaint, Plaintiff may supply sufficient information to identify the police officers from the Greenburgh Police Department, the Elmsford Police Department, and the 47th Precinct in the Bronx, who were involved in Plaintiff’s arrest on or around September 7, 2020, and subsequent related events.” It is therefore ordered that the New York City Law Department; the Town of Greenburgh Town Attorney; and the Village of Elmsford, Village Counsel, which are the attorneys for and agents of the New York City Police Department, the Greenburgh Police Department, and the Elmsford Police Department respectively, must ascertain the identity and badge number of each John Doe police officer whom Plaintiff seeks to sue here and the address where the defendants
? It is not clear which officers arrested Plaintiff.
may be served. Those entities must provide this information to Plaintiff and the Court within sixty days of the date of this order. Within thirty days of receiving this information, Plaintiff must file an amended complaint naming the John Doe defendants. The amended complaint will replace, not supplement, the original complaint. An amended complaint form that Plaintiff should complete is attached to thts order. Once Plaintiff has filed an amended complaint, the Court will screen the amended complaint and, if necessary, issue an order directing the Clerk of Court to complete the USM-285 forms with the addresses for the named John Doe Defendants and deliver all documents necessary to effect service to the U.S. Marshals Service. The Clerk of Court is instructed to: (1) issue summonses for Westchester County, the City of New York, and Jacqueline Fluerinord, complete the USM-285 forms with the addresses for these defendants, and deliver all documents necessary to effect service to the U.S. Marshals Service; (2) mail a copy of this order to: (a) the New York City Law Department, at 100 Church Street, New York, N.Y. 10007; (b) the Town Attorney, Town of Greenburgh, 177 Hillside Avenue, Greenburgh, New York 10607; and (c) Village Counsel, the Village of Elmsford, 11 Martine Avenue, White Plains, NY 10606; and (3) mail an information package to Plaintiff. SO ORDERED. pace New Yor New York Ph Ly oc, 7A 0/23 ( + JOHN G. KOELTL ~ United States District Judge
DEFENDANTS AND SERVICE ADDRESSES
1, Jacqueline Fluerinord 11 Beaufort Street White Plains, N.Y. 10601 2, New York City Law Department 100 Church Street New York, N.Y. 10011 3. Westchester County Westchester County Attorney’s Office 148 Martine Avenue White Plains, New York 10601
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK
Write the full name of each plaintiff. CV {Include case number if one has been assigned} -against- AMENDED COMPLAINT Do you want a jury terial? OlYes CINo
Write the full name of each defendant. If you need more space, please write “see attached” in the space above and attach an additional sheet of paper with the full list of names. The names listed above must be identical to those contained in Section il,
NOTICE The public can access electronic court files. For privacy and security reasons, papers filed with the court should therefore not contain: an individual’s full social security number or full birth date; the full name of a person known to be a minor; or a complete financial account number. A filing may include on/ly: the last four digits of a social security number; the year of an individual’s birth; a minor’s initials; and the last four digits of a financial account number. See Federal Rule of Civil Procedure 5.2.
Rev. 1/9/17
I BASIS FOR JURISDICTION Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation, and the amount in controversy is more than $75,000, is a diversity case. In a diversity case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal-court jurisdiction in your case? L] Federal Question Diversity of Citizenship A. If you checked Federal Question Which of your federal constitutional or federal statutory rights have been violated?
B. If you checked Diversity of Citizenship 1.
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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK DALE ROBERTSON, Plaintiff, -against- 23-CV-4977 (JGK} JACQUELINE FLUERINORD; POLICE ORDER OF SERVICE OFFICERS JOHN DOE #1 TO #4; CITY OF NEW YORK; COUNTY OF WESTCHESTER, Defendants. JOHN G. KOELTL, United States District Judge: Plaintiff, who is appearing pro se, brings this action under 42 U.S.C, § 1983, alleging claims of false arrest, malicious prosecution, excessive force, and claims arising under state law, By order dated June 14, 2023, the Court granted Plaintiff's request to proceed in forma pauperis (IFP), that is, without prepayment of fees. Because Plaintiff has been granted permission to proceed IFP, he is entitled to rely on the Court and the U.S. Marshals Service to effect service.! Walker v. Schult, 717 F.3d. 119, 123 n.6 (2d Cir. 2013); see also 28 U.S.C. § 1915(d) (“The officers of the court shall issue and serve all process... in [IFP] cases.”); Fed, R. Civ. P, 4(c)}(3) (the court must order the Marshals Service to serve if the plaintiff is authorized to proceed IFP)). To allow Plaintiff to effect service on Defendants Westchester County, City of New York, and Jacqueline Fluerinord through the U.S. Marshals Service, the Clerk of Court is instructed to
' Although Rule 4(m) of the Federal Rules of Civil Procedure generally requires that summonses be served within 90 days of the date the complaint is filed, Plaintiff is proceeding IFP and could not have served the summonses and the complaint until the Court reviewed the compiaint and ordered that the summonses be issued. The Court therefore extends the tire to serve until 90 days after the date summonses are issued.
fill out a U.S. Marshals Service Process Receipt and Return forms (“USM-285 forms”) for these Defendants. The Clerk of Court is further instructed to issue a summons and deliver to the Marshals Service all the paperwork necessary for the Marshals Service to effect service upon Defendants. If the complaint is not served within 90 days after the date the summonses are issued, Plaintiff should request an extension of time for service. See Meilleur v. Strong, 682 F.3d 56, 63 (2d Cir. 2012) (holding that it is the plaintiff’s responsibility to request an extension of time for service), Plaintiff must notify the Court in writing if his address changes, and the Court may dismiss the action if Plaintiff fails to do so. A. Doe defendants Under Valentin v. Dinkins, a pro se litigant is entitled to assistance from the district court in identifying a defendant. 121 F.3d 72, 76 (2d Cir. 1997). In the complaint, Plaintiff may supply sufficient information to identify the police officers from the Greenburgh Police Department, the Elmsford Police Department, and the 47th Precinct in the Bronx, who were involved in Plaintiff’s arrest on or around September 7, 2020, and subsequent related events.” It is therefore ordered that the New York City Law Department; the Town of Greenburgh Town Attorney; and the Village of Elmsford, Village Counsel, which are the attorneys for and agents of the New York City Police Department, the Greenburgh Police Department, and the Elmsford Police Department respectively, must ascertain the identity and badge number of each John Doe police officer whom Plaintiff seeks to sue here and the address where the defendants
? It is not clear which officers arrested Plaintiff.
may be served. Those entities must provide this information to Plaintiff and the Court within sixty days of the date of this order. Within thirty days of receiving this information, Plaintiff must file an amended complaint naming the John Doe defendants. The amended complaint will replace, not supplement, the original complaint. An amended complaint form that Plaintiff should complete is attached to thts order. Once Plaintiff has filed an amended complaint, the Court will screen the amended complaint and, if necessary, issue an order directing the Clerk of Court to complete the USM-285 forms with the addresses for the named John Doe Defendants and deliver all documents necessary to effect service to the U.S. Marshals Service. The Clerk of Court is instructed to: (1) issue summonses for Westchester County, the City of New York, and Jacqueline Fluerinord, complete the USM-285 forms with the addresses for these defendants, and deliver all documents necessary to effect service to the U.S. Marshals Service; (2) mail a copy of this order to: (a) the New York City Law Department, at 100 Church Street, New York, N.Y. 10007; (b) the Town Attorney, Town of Greenburgh, 177 Hillside Avenue, Greenburgh, New York 10607; and (c) Village Counsel, the Village of Elmsford, 11 Martine Avenue, White Plains, NY 10606; and (3) mail an information package to Plaintiff. SO ORDERED. pace New Yor New York Ph Ly oc, 7A 0/23 ( + JOHN G. KOELTL ~ United States District Judge
DEFENDANTS AND SERVICE ADDRESSES
1, Jacqueline Fluerinord 11 Beaufort Street White Plains, N.Y. 10601 2, New York City Law Department 100 Church Street New York, N.Y. 10011 3. Westchester County Westchester County Attorney’s Office 148 Martine Avenue White Plains, New York 10601
UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK
Write the full name of each plaintiff. CV {Include case number if one has been assigned} -against- AMENDED COMPLAINT Do you want a jury terial? OlYes CINo
Write the full name of each defendant. If you need more space, please write “see attached” in the space above and attach an additional sheet of paper with the full list of names. The names listed above must be identical to those contained in Section il,
NOTICE The public can access electronic court files. For privacy and security reasons, papers filed with the court should therefore not contain: an individual’s full social security number or full birth date; the full name of a person known to be a minor; or a complete financial account number. A filing may include on/ly: the last four digits of a social security number; the year of an individual’s birth; a minor’s initials; and the last four digits of a financial account number. See Federal Rule of Civil Procedure 5.2.
Rev. 1/9/17
I BASIS FOR JURISDICTION Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation, and the amount in controversy is more than $75,000, is a diversity case. In a diversity case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal-court jurisdiction in your case? L] Federal Question Diversity of Citizenship A. If you checked Federal Question Which of your federal constitutional or federal statutory rights have been violated?
B. If you checked Diversity of Citizenship 1. Citizenship of the parties Of what State is each party a citizen? The plaintiff , , isa citizen of the State of (Plaintiffs name}
(State in which the person resides and intends to remain.)
or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
If more than one plaintiff is named in the complaint, attach additional pages providing information for each additional plaintiff.
Page 2
if the defendant is an individual: The defendant, , is a citizen of the State of (Defendant’s name)
or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of
If the defendant is a corporation: The defendant, , is incorporated under the laws of the State of and has its principal place of business in the State of or is incorporated under the laws of (foreign state) and has its principal place of business in . if more than one defendant is named in the complaint, attach additional pages providing information for each additional defendant.
H. PARTEES A. Plaintiff Information Provide the following information for each plaintiff named in the complaint. Attach additional pages if needed.
First Name Middle initial Last Name
Street Address
County, City State Zip Code
Telephone Number Email Address (if available)
Page 3
B. Defendant Information To the best of your ability, provide addresses where each defendant may be served. If the correct information is not provided, it could delay or prevent service of the complaint on the defendant. Make sure that the defendants listed below are the same as those listed in the caption. Attach additional pages if needed. Defendant 1: First Name Last Name
Current Job Title (or other identifying information)
Current Work Address (or other address where defendant may be served)
Defendant 2: First Name Last Name
Current Work Address (or other address where defendant may be served)
County, City State Zip Cade
Defendant 3: First Name Last Name
Current Work Address {or other address where defendant may be served)
Page 4
Defendant 4: First Name Last Name
Current Work Address (or other address where defendant may be served)
County, City State Zip Code il. STATEMENT OF CLAIM Place(s) of occurrence:
Date(s) of occurrence: FACTS: State here briefly the FACTS that support your case. Describe what happened, how you were harmed, and what each defendant personally did or failed to do that harmed you. Attach additional pages if needed.
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INJURIES: If you were injured as a result of these actions, describe your injuries and what medical treatment, if any, you required and received.
IV. RELIEF State briefly what money damages or other relief you want the court to order.
Page 6
V. PLAINTIFF’S CERTIFICATION AND WARNINGS By signing below, I certify to the best of my knowledge, information, and belief that: (1) the complaint is not being presented for an improper purpose (such as to harass, cause unnecessary delay, or needlessly increase the cost of litigation); (2) the claims are supported by existing law or by a nonfrivolous argument to change existing law; (3) the factual contentions have evidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable opportunity for further investigation or discovery; and (4) the complaint otherwise complies with the requirements of Federal Rule of Civil Procedure 11. I agree to notify the Clerk's Office in writing of any changes to my mailing address. I understand that my failure to keep a current address on file with the Clerk's Office may result in the dismissal of my case.
Each Plaintiff must sign and date the complaint. Attach additional pages if necessary. If seeking to proceed without prepayment of fees, each plaintiff must also submit an IFP application.
Dated Plaintiff's Signature
First Name Middie Initial Last Name
Telephone Number Email Address {if available)
I have read the Pro Se (Nonprisoner) Consent to Receive Documents Electronically: ilYes If you do consent to receive documents electronically, submit the completed form with your complaint. lf you do not consent, please do not attach the form.
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Fa oe, . 3 ‘Surg \*\ United States District Court walls Southern District of New York Deg Pisreice OS Pro Se (Nonprisoner) Consent to Receive Documents Electronically Parties who are not represented by an attorney and are not currently incarcerated may choose to receive documents in their cases electronically (by e-mail) instead of by regular mail. Receiving documents by regular mail is still an option, but if you would rather receive them only electronically, you must do the following: 1. Sign up for a PACER login and password by contacting PACER? at www.pacer.uscourts.gov or 1-800-676-6856; 2. Complete and sign this form. If you consent to receive documents electronically, you will receive a Notice of Electronic Filing by e-mail each time a document is filed in your case. After receiving the notice, you are permitted one “free look” at the document by clicking on the hyperlinked document number in the e-mail.? Once you click the hyperlink and access the document, you may not be able to access the document for free again. After 15 days, the hyperlink will no longer provide free access. Any time that the hyperlink is accessed after the first “free look” or the 15 days, you will be asked for a PACER login and may be charged to view the document. For this reason, you should print or save the document during the “free look” to avoid future charges. IMPORTANT NOTICE Under Rule 5 of the Federal Rules of Civil Procedure, Local Civil Rule 5.2, and the Court's Electronic Case Filing Rules & Instructions, documents may be served by electronic means. If you register for electronic service: 1. You will no longer receive documents in the mail; 2. Ifyou do not view and download your documents during your “free look” and within 15 days of when the court sends the e-mail notice, you will be charged for looking at the documents; 3. This service does not allow you to electronically file your documents; 4, It will be your duty to regularly review the docket sheet of the case.*
1 Public Access to Court Electronic Records (PACER) (www.paceruscourts.gov) is an electronic public access service that allows users to obtain case and docket information from federal appellate, district, and bankruptcy courts, and the PACER Case Locator over the internet. 2 You must review the Court's actual order, decree, or judgment and not rely on the description in the email notice alone. See ECF Rule 4.3 3 The docket sheet is the official record of all filings in a case. You can view the docket sheet, including images of electronically filed documents, using PACER or you can use one of the public access computers available in the Clerk's Office at the Court. 500 PEARL STREET | NEW YORK, NY 10007 300 QUARROPAS STREET | WHITE PLAINS, NY 10601 PRO SE IWTAKE LINIP? 213-205-0/(/75
CONSENT TO ELECTRONIC SERVICE I hereby consent to receive electronic service of notices and documents in my case(s) listed below. I affirm that: 1. [have regular access to my e-mail account and to the internet and will check regularly for Notices of Electronic Filing; 2. Thave established a PACER account; 3. Iunderstand that electronic service is service under Rule 5 of the Federal Rules of Civil Procedure and Rule 5.2 of the Local Civil Rules, and that I will no longer receive paper copies of case filings, including motions, decisions, orders, and other documents; 4, 1will promptly notify the Court if there is any change in my personal data, such as name, address, or e-mail address, or if I wish to cancel this consent to electronic service; 5. lunderstand that I must regularly review the docket sheet of my case so that I do not miss a filing; and 6. lunderstand that this consent applies only to the cases listed below and that if] file additional cases in which I would like to receive electronic service of notices of documents, | must file consent forms for those cases, Civil case(s) filed in the Southern District of New York: Note: This consent will apply to all cases that you have filed in this court, so please list all of your pending and terminated cases. For each case, include the case name and docket number (for example, John Doe v. New City, 10-CV-01234).
Name (Last, First, MI)
Address City State Zip Code
Telephone Number E-mail Address
Date Signature Return completed form to: Pro Se Intake Unit (Room 200) 500 Pearl Street New York, N¥ 10007