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Petition For Admission - Louisiana
| Petition For Admission Form. This is a Louisiana form and can be used in Western District District Court Federal . |
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UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA INSTRUCTIONS FOR COMPLETION OF PETITION FOR ADMISSION The attached Petition for Admission must be typewritten or printed legibly. The Clerk should also be furnished with a CURRENT (dated within the last six months), ORIGINAL Certificate of Good Standing from the Clerk of the SUPREME COURT OF THE STATE OF LOUISIANA or the Louisiana Bar Association (must have the Court seal). The two (2) attorneys that sign your petition MUST be a member of the Western District of Louisiana Bar. Their signatures must be original. No copied or faxed signatures will be accepted We also require that you supply us with your Louisiana Bar Number. REMIT check in the amount of $201.00 with your application. should be made payable to "Clerk, U. S. District Court". NO APPEARANCE IS NECESSARY OR REQUIRED. If you should have any questions, please contact Stephanie Alvarez, Jury Administrator, at 318-676-4228. In summary, to be admitted send: 1.) 2.) 3.) Completed Petition for Admission Completed "Written Oath for Admission to Practice" Original Certificate of Good Standing from LA Supreme Court or Louisiana Bar Association Admission fee of $201.00 to Clerk, United States District Court Attention: Jury Administrator 300 Fannin Street, Suite 1167 Shreveport, LA 71101 Check 4.) American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA PETITION FOR ADMISSION Under the provisions of LR Rule 83.2.3, the undersigned attorney petitions the Court for admission to practice before this Court representing as follows: NAME:____________________________________________________________ (LAST) (FIRST) (MIDDLE) HOME ADDRESS:_________________________________________________________ (Street or P. O. Box) _________________________________________________________ (CITY) (ZIP CODE) (PARISH) HOME TELEPHONE:___________________ SOCIAL SECURITY NO.________________ DATE OF BIRTH:_______________ STATE BAR IDENTIFICATION NO._______ (State Bar ID # Is Required) NAME OF FIRM:____________________________________________________ OFFICE ADDRESS:_________________________________________________________ (Street or P. O. Box) _________________________________________________________ (CITY) (ZIP CODE) (PARISH) OFFICE TELEPHONE:_______________ FAX #: ______________ (include area code) MY higher educational background is as follows: SCHOOL _____________________________ _____________________________ _____________________________ YEARS(dates) ___________________ ___________________ ___________________ DEGREE ____________ ____________ ____________ In addition to the bar of the Louisiana Supreme Court, I am admitted to practice before the following Courts: COURT _____________________________________ _____________________________________ _____________________________________ _____________________________________ DATE OF ADMISSION _________________________ _________________________ _________________________ _________________________ American LegalNet, Inc. www.FormsWorkFlow.com I understand it is my responsibility to advise the Clerk's Office promptly in writing of any electronic mail or physical address changes. I understand that electronic mail filter software (SPAM filter) may interfere with receipt of e-mail notices and have verified that any such software installed on my computer or network will not filter out messages I understand this electronic sent from enoticing@lawd.uscourts.gov. notice will be in lieu of notice by any other means. PRIMARY E-MAIL: _______________________________________________________ SECONDARY E-MAIL(S) (e.g., secretaries, paralegal. Do not include cocounsel):______________________________________________________________ I have never been disbarred nor suspended from practice before any Court, department, bureau, commission or other body of the any state of the United States, nor have I received any reprimand from any such Court or other body, except as follows:__________________________________________________________ _________________________________________________________________ I am qualified to practice before this Court and am not subject to any pending disbarment or professional discipline procedure in any Court, except as follows:__________________________________________ _________________________________________________________________ I have read in their entirety the Federal Rules of Civil Procedure, the Federal Rules of Criminal Procedure, the Federal Rules of Evidence, the Code of Professional Responsibility, and the Local Rules for the Western District of Louisiana. I will follow and apply such rules before this Court. SIGNED:_________________________ STATE OF LOUISIANA PARISH OF ________________ BEFORE ME, the undersigned Notary Public, came and appeared ______________________, who after being duly sworn, did depose and say that all the allegations made in the above Petition for Admission are true and correct to the best of his/her knowledge. ________________________________ Petitioner THUS DONE AND PASSED, before me, Notary Public, this the _________ day of ___________, ______, at ______________, Louisiana. ________________________________ Notary Public American LegalNet, Inc. www.FormsWorkFlow.com ENDORSEMENT I am admitted to _____________________. is true to the best of moral character and is practice before this Court and am familiar with I have read the Petition for Admission, and it my knowledge and belief. Petitioner is of good qualified to practice before this Court. ENDORSEMENT MUST BE ORIGINAL SIGNATURE (NO FAX OR COPY) Signed_________________________ Name Date _________________________ (Type or Print) _____________ LA #_______ Signed___________________________ Name Date ___________________________ (Type or Print) ______________ LA #________ ***NOTICE*** Effective January 1, 2008, it became mandatory to file by electronic means in the U. S. District Court, Western District of Louisiana. If you need more information about electronic filing, please refer to our website at www.lawd.uscourts.gov. American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA WRITTEN OATH FOR ADMISSION TO PRACTICE I DO SOLEMNLY SWEAR (OR AFFIRM) that I will support the Constitution of the United States; that I will well and faithfully discharge my duties as attorney and officer of this Court; and that I will demean myself uprightly and according to law and the recognize
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