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Application For Appointment To Panel Of Attorneys Under Criminal Justice Act of 1964 (CJA) - New York
| Application For Appointment To Panel Of Attorneys Under Criminal Justice Act of 1964 (CJA) Form. This is a New York form and can be used in General Eastern District District Court Federal . |
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NOTE: PLEASE ATTACH A DETAILED RÉSUMÉ TO YOUR APPLICATION FORM, AND ANY OTHER INFORMATION THAT YOU DEEM RELEVANT. APPLICATION FOR APPOINTMENT TO THE PANEL OF ATTORNEYS UNDER THE CRIMINAL JUSTICE ACT OF 1964 PURSUANT TO THE PLAN OF THE JUDGES OF THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF NEW YORK (Please print or type) NAME__________________________________TELEPHONE NO. ( ) FIRM NAME___________________________________________________________________ OFFICE ADDRESS______________________________________________________________ RESIDENCE ADDRESS_________________________________________________________ FAX NO.__________________________E-MAIL ADDRESS____________________________ LAW SCHOOL ATTENDED______________________________________________________ DATE OF GRADUATION________________________________________________________ DATE OF ADMISSION TO NEW YORK STATE BAR (AND ANY OTHER STATE(S) ADMITTED (WITH DATES) ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________________ DATE OF ADMISSION TO THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF NEW YORK ______________________________________________________ OTHER DISTRICT/CIRCUIT COURTS ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ How many Federal criminal cases have you handled during the last five years?________________ (a) Of these Federal criminal cases, indicate the extent of your involvement. (i) Investigation stage only_______________________________________________ -1American LegalNet, Inc. www.USCourtForms.com (ii) Pleas of guilty_______________________________________________________ -2American LegalNet, Inc. www.USCourtForms.com (iii) Trials to verdict_____________________________________________________ (a) (b) Jury_________________________________________________________ Non-jury_____________________________________________________ (iv) Other disposition (indictment dismissed, etc.) ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________________ Other relevant experience (e.g., State Court, Criminal and Civil Cases, Federal Civil Cases). Attach additional pages, as needed. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ List the names of all Federal Judges in the Eastern District of New York before whom you have conducted a litigated motion or a trial over the last five(5) years, and give the names of the cases: Name of Judge Name of Case ______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ List the names, addresses and telephone numbers of five adversaries in Federal criminal cases which you have handled. Also indicate the names of the cases: Name of Adversary Address and Telephone Number of Adversary Name of Case ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ -3American LegalNet, Inc. www.USCourtForms.com -4American LegalNet, Inc. www.USCourtForms.com How many Federal criminal appeals have you handled during the last five years?______________ List the five most recent petitions which you have handled before the United States Court of Appeals for the Second Circuit; indicate whether you represented the Government, or provide the name of the defendant you represented. If there was a published opinion, please provide the citation. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________________ ________________________________________________________________________________ How many Federal and New York State habeas corpus (or coram nobis) petitions have you handled during the last five years? _________________________________________________________ (a) List the five most recent petitions which you have handled, and provide the name of the defendant you represented. If there was a published opinion, please provide the citation. ______________________________________________________________________________ ______________________________________________________________________________ _______________________________________________________________________________ ______________________________________________________________________________ ________________________________________________________________________________ (b) Would you be available for assignments in habeas corpus matters? __________________ Have you been a member of any Panel for defense lawyers under the Federal Criminal Justice Act, Article 18-B, or the Appellate Division's Homicide Panel?_____________________ (a) Indicate the Panels on which you have participated: ______________________________________________________________________________ ______________________________________________________________________________ ___________________________________
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