Civil Cover Sheet — Alvarado v. CA Unemployment Ins. Appeals Board (CUIAB) (Dkt. 1-1, E.D. Cal.)

Summary

This JS 44 civil cover sheet, filed as Document 1-1 on 12/29/23 in Case 2:23-cv-03041-TLN-CSK, names the California Unemployment Appeals Board and the California Employment Development Dept as defendants. It lists Yuba as the county of residence of the first-listed plaintiff, who is shown as proceeding pro se. The brief description of the cause is PUA Unemployment Insurance.

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Case 2:23-cv-03041-TLN-CSK Document 1-1 Filed 12/29/23 Page 1 of 1
JS 44 (Rev. 12/12) CIVIL COVER SHEET
The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law, except as
provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the
purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON NEXT PAGE OF THIS FORM)
I. (a) PLAINTIFFS [illegible] DEFENDANTS California Unemployment Appeals Board; California Employment Development Dept
(b) County of Residence of First Listed Plaintiff Yuba County of Residence of First Listed Defendant
[illegible] (EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)
NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT OF LAND INVOLVED.
(c) Attorneys (Firm Name, Address, and Telephone Number) Attorneys (If Known)
Pro Se
II. BASIS OF JURISDICTION [illegible] an [illegible] in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES (Ptace an "x" in One Box for [illegible]
of Business {n This State
(For Diversity Cases Only) and One Box for Defendant)
U.S. Government 3 Federal Question PTF DEF [illegible] EF
Plaintiff [illegible] Government Not a Party) Citizen of This State o1 0 1 Incorporated or Principal Place 4 4
M2. US. Government K Diversity Citizen of Another State “M2 [illegible] 2 Incorporated and Principal Place os 5
Defendant (indicate Citizenship of Parties in Item TI) of Business In Another State
Citizen or Subject of a 3 1 3. Foreign Nation [illegible] M6
Foreign Country
IV. NATURE OF SUIT (Piace an “x” in One Box Only}
10 Insurance PERSONAL INJURY PERSONAL INJURY [0 625 Drug Related Seizure [illegible] 422 Appeal 2[illegible] USC 158 375 False Claims Act
[illegible] Marine [illegible]1 310 Airplane © 365 Personal Injury - of Property 21 USC [illegible] {4 423 Withdrawal [illegible] 400 State Reapportionment
O 130 Miller Act D 315 Airplane Product Product Liability 0 696 Other 28 USC 157 O 410 Antitrust
© 140 Negotiable Instrument Liability C1 367 Health Care/ [illegible] 9 430 Banks and Banking
0 150 Recovery of Overpayment | 320 Assault, Libel & Pharmaceutical [illegible] RI | 0 4[illegible]0 Commerce
& Enforcement of Judgment Slander Personal Injury [illegible] 820 Copyrights [illegible] 460 Deportation
( 151 Medicare Act (J 330 Federal Employers’ Product Liability (7 [illegible]30 Patent [illegible] Racketeer Influenced and
0 152 Recovery of Defaulted Liability [illegible] 368 Asbestos Personal 840 Trademark Corrupt Organizations
Student Loans 240 Marine Injury Product [illegible] 1 4[illegible]0 Consumer Credit
(Excludes Veterans} 0 345 Marine Product Liability [illegible] eee [illegible] iSE 490 Cable/Sat TV
0 153 Recovery of Overpayment Liability PERSONAL PROPERTY [0 710 Fair Labor Standards D 861 HIA (1395ff) J 850 Securities/Commodities’
of Veteran’s Benefits (7 350 Motor Vehicle {370 Other Fraud Act [illegible] [illegible]62 Black Lung (923) Exchange
C1 160 Stockholders’ Suits © 355 Motor Vehicle © 371 Truth in Lending 0 720 Labor/Management [illegible] 363 DIWC/DIWW (405(g)) | [illegible] 890 Other Statutory Actions
[illegible] 190 Other Contract Product Liability (7 380 Other Personal Relations [illegible] 864 SSID Title XVI © 891 Agricultural Acts
© 195 Contract Product Liability |G 360 Other Personal Property Damage © 740 [illegible] Labor Act [illegible] 865 RSI (405(g)) 1 [illegible]93 Environmental Matters
1 196 Franchise {njury O 385 Property Damage 0 751 Family and Medical [illegible] 895 Freedom of Information
© 362 Personal Injury - Product Liability Leave Act Act
Medical Malpractice 0 790 Other Labor Litigation [illegible] 896 Arbitration
oe [illegible] irs : (3 791 Employee Retirement [illegible] xX. 899 Administrative Procedure
O 210.Land Condemnation 0 440 Other Civil Rights Habeas Corpus: Income Security Act [illegible] 870 Taxes (US. Plaintiff Act/Review or Appeal of
OF 220 Foreclosure O 441 Voting O 463 Alien Detainee or Defendant) Agency Decision
O 230.Rent Lease & Ejectment {7 442 Employment 510 Motions to Vacate 0 871 IRS—Third Party 950 [illegible] of
[illegible] 24[illegible] Torts to Land © 443 Housing/ Sentence 26 USC 7609 State Statutes
O 245 Tort Product Liability [illegible] General
© 296 All Other Real Property 0 445 Amer. w/Disabilities -] 535 Death Penalty IMMIGRATION
Employment Other: [illegible] 462 Naturalization Application
O 446 Amer. w/Disabilities -} 540 Mandamus & Other {0 465 Other Immigration
Other [illegible] 550 Civil Rights Actions
C1 448 Education 0 555 Prison Condition
(1 560 Civil Detainee -
Conditions of
Confinement
V. ORIGIN (Place an °X” in One Box Only}
1° Original 2 Removed from [illegible] 3° Remanded from 4 Reinstated or © 5 Transferred from (16 Multidistrict
Proceeding State Court Appellate Court eopened Another District Litigation
Cite the U.S. Civil Statute unde ick yoy are [illegible] ot cite jurisdictional statutes untess diversity}:
[illegible]
Brief description of cause: PUA Unemployment Insurance
VII. REQUESTED IN [ ] CHECK IF THIS IS A CLASS ACTION DEMAND $ CHECK YES only if demanded in complaint:
COMPLAINT: UNDER RULE 23, F.R.Cv.P. JURY DEMAND: [ ] Yes [ ] No
VIII. RELATED CASE(S) IF ANY (See instructions): [illegible]
[illegible]
DATE SIGNATURE OF ATTORNEY OF RECORD
FOR OFFICE USE ONLY
VI. CAUSE OF ACTION
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE


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