case 5:19-cv-05734-jls document 1 filed 12/05/19 page 1 of …...!5" - o& " vl ii f...

Case 5:19-cv-05734-JLS Document 1 Filed 12/05/19 of 16

!5" - O& " VL II f CIVIL COVER SHEET .!5';I q--<!Y-513'-/ The JS 44 c1vtl cover sheet and the ~~~d herem neither replace nor supplement the filmg and service of pleadmgs or other papers as required by law. except as provided by local rules of court Tots form, approved by the Jud1c1al Conference of the Umted States m September 1974, 1s required for the use of the Clerk of Court for the purpose ofm1tiatmg the CM! docket sheet {SEE /NSTRUCTTONS ON NEX'l PAGb OF THIS FORM J

I. (a) PLAINTIFFS DEf'ENDANTS 1\ 9 SHYANNE AUKAMP-CORCORAN LANCASTER GENERAL HEAL ffl. t/a PENN MEDICINE

LANCASTER GENERAL HEAL TH (b) County of Residence of Frrst Listed Plamttff Lancaster

(FXCEPT IN(; S PLAINTIFF CASES)

County of Residence off mt Listed Defendant Lancaster (IN (; S PLAINTIFF CASES ONLY)

NOTE IN LAND CONDFMNAT'lON CASES. USE rm IOCATION Of IBE TRACT OF LA"-D l"-VOL VlD

( c) Attome;,;:s (Finn Name Address and Te!ephone N,,mber) Lindsay J O Neil, G1bbel Krayb1II & Hess LLP

Attorneys {Tf Known)

David Freedman. Barley Snyder 2933 Lititz Pike. PO Box 5349, Lancaster. PA 17606 126 East King Street, Lancaster PA 17692

717-399-1578 717-291-1700

II. BASIS OF JURISD

:1 I l.; S Government

Plamttff

:1 2 \.; S Government Defendant

:1 4 D1vers1ty (/nditace Citt-ensh1p of Parties en /rem Ill)

III. CITIZKSSHIP OF PRISCIP AL PARTIES {Place an "X- en One Box for Plamciff (For Dcvers,ty Cases Only) and One Box for Defendant)

PTF DliF PTF DE.F C1ttzen of This State :1 l cJ l Incorporated or Pnnc1pal Place :1 4 :1 4

of Busmess In This State

C,11,en of Another '>tate '.'J 2 , 2 Incorporated and Pnnc 1pal Place :1 5 :1 5 of Busmess In Another State

:1 ' foreign Nauon :1 6 :1 6

IV. NATl'RE OF SUIT (P/acean "X tn One Box On!;,)

ctr * * ''"'T RT ORFE ALTY

:'.J I IO Insurance cJ 120 Manne :1 130 Miller Act :1 140 Negouable Instrument 'J I 50 Recovery of Overpayment

& Enforcement of Judgment cl I 5 I Medicare Act "J 152 Recovery of Defaulted

Student Loans (Excludes Veterans)

:1 15 J Recovery of Overpayment ofVeteran·s Benefits

7 160 Stockholders· Smts :1 I 90 Other Contract "J 195 Contrac,t Product l ,tab1hty 7 I 96 f ranchtSe

PERSONAL IN.n:RY '.'J JI O Airplane c.l 31 5 Airplane Product

I ,1ab1hl)' :1 320 Assault, Libel &

Slander :1 BO Federal Fmployers·

Ltabtht)' :1 340 Manne :1 345 Manne Product

I.1ab1ht)' '.J 350 Motor Vehicle :1 3 5 5 Motor Vehtc le

Product Ltabtlit)' 7 360 Other Personal

PERSONAL 1-..n;RY :1 625 Drug Related Seizure cJ 422 Appeal 28 l'SC 158 :1 3 75 false Clanns Act :1 365 Personal Injury of Property 21 USC 881 :1 423 Withdrawal cJ 376 Qu, Tam 01 L5C

Product L1ab1hl)' :1 690 Other 28 l'SC 157 3729(a)) :1 36 7 Health Care, cl 400 State Reapportwnment

Phannaceulical t::i:l~Q]:~;.j[:i~:J~~ij[i~[:::~ :1 4 IO Anutrust Personal Iniury "J 430 Banks and Bankmg Product Ltab1ht)' :1 450 Commerce

c1 J68 Asbestos Personal :1 8 J 5 Patent . Abbrev1ated :1 460 Deportation In Jury Product :1 4 70 Racketeer Influenced and L1ab1ht)' Corrupt Orgamzallons

PERSONAL PROPERTY t------"'"L_,AB..,_R,.,,_ ___ +___.=....,...._,..,._,....,..._,TY..,_....._--1:1 480 Consumer Credit :'.J 370 Other fraud "J 7 IO F a,r Labor Standards :1 490 Cable,'Sat TV :1 3 7 I Truth m Lendmg Act "J 850 Secunues/Commod,ttesi :1 380 Other Personal :1 720 Labor/Management Exchange

Property Damage Relations cl 890 Other Statutory Ac uons :1 385 Property Damage '.J 740 Railway Labor Act :1 891 Agncultural Acts

Product Ltab1hty "J 751 F anuly and Medical :1 89 l Envtronmental Matters

Leave Act l----====-=====--1 :1 895 freedom of lnfonnal!on '-'---""""=====-+--f'----=-'-"'r='"'""-"---"-ti--.a.=====--=--1' 790 Other Labor L1t1gat1on FEDERALTAXSU Act "J 210 Land Condenmaaon '.'J 220 Foreclosure :1 230 Rent Lease & E)eclin t cl 240 Torts to Land cl 245 Tort Product Liabth :1 290 All Other Real Pro rt)' Amer w,D1sab1hnes •

Employment :1 446 Amer w1D1sab1lmes .

Other "J 448 E.ducalion

:1 5 IO Mouons to Vacate Sentence

:1 5 30 General :1 5 3 5 Death Penalty

Other :1 540 Mandamus & Ot,'ter :1 5 50 CM! Rights cl 555 Pnson Condition :1 560 CM! Detamee •

C.ond1t1ons of Confinement

:1 791 Employee Reurement "J 870 Taxes (t.: S Plamt1ff 7 896 Arb1tral!on Income '>ecunl)' Act or Defendant) cJ 899 Admm1stra11ve Procedure

I '."l 462 Naturahzallon Apphcat10n :1 46 5 Other !lllIIllgralion

Aclions

:1 87 l IRS- Third Party A< t'Revtew or Appeal of 26 USC 7609 Agency Dec!Slon

,Et -5

'.J 950 C onslituaonahty of State 5tatutes

19

lace an 'X' en One Box Only}

'.1 2 Removed from State Court

, 3 Remanded from Appellate Court

'.1 4 Remstated or Reopened

"J 5 Transferred from Another D1stnct (specify)

'1 6 Multtd1stnct L1tigat1on -Transfer

7 8 Mult1d1stnct L1tigat1on •

Drrect File

VII. REQUESTED IN COMPLAINT:

VIII. RELATED CASE(S) IF A..~Y

DATE /fJ -3 IC/

Cite the C S C1v1l Statute under which you are filmg (Do not cite jurisdictional statutes unless diversity)

42 USC Section 2000e et se 43 PS Sec 521 et se Bnef descnpt10n of cause discrimination based on reli ion and failure to accommodate rel1

::J CHECK IF THIS IS A CLAS!, ACTION DEMAND$ U1'iTIER RL1E 23, FR Cv P

(See cnstrucuons) JCDGf

FOR OFFICE IJSE O"<L Y

RECI,IPT# A\4OL"I/T APPL Yl1'G If P WOGE MAG Jl,UGE


FORTHEEASTER!'II DISTRICTOFPENNSYLVA."ilA 19 5 7 3 4 J~s l:NITED ST ATES DISTRICT COt:RT

DESIGNATION FOR.1\1 (to be d y counsel or pro se plamtzff to mdzcate the category of the case for the purpose of assignment to the approprzate calendar)

Address of Plamtiff: 14 Kay Drive, Lancaster, PA 17603 ---- ---- -- --

Address of Defendant: 555 North Duke Street, Lancaster, PA 17604

Place of Accident, Incident or Transact1oll" 555 North Duke Street, Lancaster, PA 17604

RELATED CASE, IF ANY:

Case !'.umber Judge Date Tenmnated

C1v1I cases are deemed related when Yes 1s answered to any of the followmg questions

ls this case related to property mcluded 111 an earher numbered smt pendmg or w1th111 one year previously term111ated act10n 111 this court?

2 Does this case involve the same issue of fact or grow out of the same transact10n as a pnor suit pend111g or w1thm one year prev10usly termmated act10n m this court'>

3 Does this case mvolve the vahd1ty or mfnngement of a patent already m smt or any earher numbered case pendmg or w1thm one year preVJously term ed act ofth1s court9

4 ls this case a second or successive habeas corpus, soc case filed by the same md1v1dual?

I certify that, to my knowledge, the w1thm case this court except as noted above.

DATE ~·D·I_~

Yes

Yes

Yes

313161 Attorney ID # (if applzcable)

CIVIL: (Place a ✓ in one category on!))

A. Federal Question Cases: B. Diversity Jurisdiction Cases:

I lndemmty Contract, Manne Contract, and All Other Contracts • I Insurance Contract and Other Contracts

I,

2 FELA

t1trust atent aabor-Management Relations

ClVII Rights Habeas Corpus Secunt1es Act(s) Cases Social Secunty Review Cases All other Federal Question Cases (Please specify)

• 2 Airplane Personal lnjury

• 3 Assault, Defamat10n

• 4 Marme Personal Injury

• 5 Motor Vehicle Per,onal Injury

• 6 Other Personal Injury (Please speczf,J

• 7 Products Liab1hty

• 8 Products L1ab1hty - A~- -5 2019 • 9 All other D1vers1ty Ca~ (Please speczf,J _ --- ----

ARBITRATION CERTU'ICA TION (The effect of thzs certification zs to remo11e the case from elzgzbzlzty for arbttratzon)

__ , counsel of record or pro se plamuff. do hereby certify

t to Local Cn,1I Rule 53 .2, § 3(c) (2), that to the best of my knowledge and behef, the damages recoverable 111 this c1V1l action case the sum of $150,000 00 exclusive of mterest and co,ts

DTE /!v/1 V ---- -------

Attorney at Law I Pro Se Plazntzfj

NOTE A tnal de novo will be a tnal by Jury only if there has been comphance with F R (" P 38

Civ 609 (5120 I 8)

DEC - 5 2019 313161

Attorney ID # (zf applzcableJ


,,

IN THE L'NITED ST ATES DISTRJCT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

CASE MANAGEMENT TRACK DESIGNATIO~ FORM

Shyanne Aukamp-Corcoran

v.

Lancaster General Health, t/a Penn Medicine Lancaster General Health

NO.

In accordance with the Civil Justice Expense and Delay Reduct10n Plan of tlus court, counsel for plaintiff shall complete a Case Management Track Des1gnat10n Form 111 all civil cases at the tune of filing the complamt and serve a copy on all defendants (See§ 1.03 of the plan set forth on the reverse side of this form) In the event that a defendant does not agree with the plaintiff regardrng said designat10n, that defendant shall, with Its first appearance, submit to the clerk of court and serve on the plamtiff and all other parties, a Case Management Track Des1gnat10n Form spec1fyrng the track to which that defendant believes the case should be assigned

SELECT 01\i"E OF THE FOLLOWING CASE MA:'.'iAGEMENT TRACKS:

(a) Habeas Corpus - Cases brought under 28 G.S.C. § 2241 through§ 2255. ( )

(b) Social Secunty - Cases requestmg review of a decision of the Secretary of Health and Human Services denymg plamtiff Social Secunty Benefits ( )

(c) Arb1trat10n - Cases reqmred to be designated for arbitration under Local CIVll Rule 53.2 ( )

(d) Asbestos - Cases rnvolvrng claims for personal rnJury or property damage from exposure to asbestos ( )

(e) Special Management - Cases that do not fall mto tracks (a) through (d) that are commonly referred to as complex and that need special or mtense management by the court (See reverse side of tbs form for a detailed explanation of special management cases.)

(f) Standard Management - Cases that do not fall mto any one of the other tracks

_ _ll),_-l q __ Date At6-aJJ P ltu lt-h ti

Attorney for

(q-t 1) Yi I- 5-S"l-/1- loY\~d ~~ ld,.coJ/v\

Telephone FAX Number E-Mail Address

(Civ. 660) 10/02

Ill& - 5 1iU9


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