Complaint For Judicial Review Of Decision Of The Commissioner Of Social Security - United States District Court

UNITED STATES DISTRICT COURT

DISTRICT OF MINNESOTA

_______________________________

Plaintiff,

vs.

Case No. __________________________

(To be assigned by Clerk of District Court)

Commissioner of Social Security,

Defendant.

COMPLAINT FOR JUDICIAL REVIEW OF DECISION

OF THE COMMISSIONER OF SOCIAL SECURITY

PARTIES

1. The Plaintiff resides within the District of Minnesota.

2. Defendant Commissioner of Social Security.

JURISDICTION

3. This is an action to review a final decision of the Defendant Commissioner of Social Security.

This Court has jurisdiction over the action under Section 205(g) of the Social Security Act, as

amended, 42 U.S.C. § 405(g).

FACTUAL ALLEGATIONS

4. The Plaintiff filed application(s) for disability benefits and/or supplemental security income with

the Defendant, and after various administrative proceedings has been denied benefits.

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