Ninth Judicial Circuit
"Equal Justice Under Law"
SC-100
Plaintiff (list names):Kaitlyn Summers
Case Number (for clerk):009
One.
The Plaintiff (the person, business, or public entity that is suing) is:
Name:Kaitlyn Summers
Phone:507383
Street Address (Street, City, State, Zip):None
Mailing Address (if different):None
If more than one Plaintiff, list next Plaintiff here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Two.
The Defendant (the person, business, or public entity being sued) is:
Name:Chase Rivers; Badge number 0154
Phone:Unknown
Street Address (Street, City, State, Zip):Unknown
Mailing Address (if different):Unknown
If more than one Defendant, list next Defendant here:
Name:
Phone:
Street Address (Street, City, State, Zip):
Mailing Address (if different):
Three.
The Plaintiff claims the Defendant owes I'll let the court determine the amount of money the Defendant owes me.
[*=left]Why does the Defendant owe the Plaintiff money? The defendant pulled me over for almost blindsiding him when he never had his sirens or lights on, so I couldn't see him. He pulled me over telling me to step out, I resisted asking "why am I being asked to step out?" He didn't tell me anything besides step out. Then he pulled out a tazer and tazed me, making me unconscious. And when I woke up I was being cuffed. He then proceeded to bring me to the prison, frisking me. I will also like to sue him for sexual harassment as he touched my entire body. I asked for a lawyer but he ignored my request and then proceeded to arrest me for Resisting, Obstructing, Delaying, ITR, Disturbing the Peace, FTC, Reckless Driving, and BZR.
[*=left]When did this happen? (Date): 12/24/13
[*=left]If no specific date, give the time period: Date started: INSERT HERE Through: INSERT HERE
Four.
List the evidence you have regarding the claims listed in three.
- Evidence 4.1
- CCTV from the prison shows everything.
- Shows from the point of where I was asked to step out of the vehicle, till the point where I was arrested.
- Not giving me the right to know what I'm being asked to step out of the vehicle for and sexual harassing me when I was being frisked.
- Evidence 4.2
- Steve Robinson
- Witness that saw what happened when I was being tazed.
- The witness saw me being pulled up after being tazed and pushed into the prison.
Five.
You must ask the Defendant (in person, in writing, or by phone) to pay you before you sue. Have you done this?
[*=left][ ] Yes ---------- [X] No
Five.I understand that by filing a claim in court, I have no right to appeal this claim.
I declare, under penalty of perjury under California State law, that the information above and on any attachments to this form is true and correct.
Date: 12/24/13 Kaitlyn Summers Kaitlyn Summers