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Application To Appear Pro Hac Vice - Official Federal Forms
| Application To Appear Pro Hac Vice Form. This is a national form and can be used in 11th Circuit Court Of Appeals Circuit Court Of Appeals . |
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Application to Appear Pro Hac Vice Court of Appeals No. Name: Firm/Office: Street Address: City: Name of party/parties to be represented: Pursuant to 11th Cir. R. 46-1(d), this application must be accompanied by a certificate of good standing issued within the previous six months from the highest court of any state or another United States Court of Appeals. Answer each question. If any answer is yes, attach a statement giving details. YES NO 1. 2a. Have you changed your name or been known by any names or surnames other than the one appearing on this application? Have you been disbarred or suspended from practice before any court, department, bureau or commission of any State or the United States, or have you received a reprimand from any of them pertaining to your conduct or fitness to practice? Are any such proceedings or allegations presently pending against you? Have you been a party to criminal proceedings, or to civil proceedings in which allegations of fraud, misrepresentation or other dishonesty were made against you? Are you presently under investigation for any matter specified in question 3a? Have you previously applied to this court for pro hac vice admission in any proceeding? If so, when? State: Phone: Fax: E-mail: Zip: 2b. 3a. 3b. 4. OATH (OR AFFIRMATION) I, , do solemnly swear (or affirm) that I will conduct myself as an attorney and counselor of this court, uprightly and according to law; and that I will support the Constitution of the United States. I do further swear (or affirm) that all statements and responses in my application to appear pro hac vice, including attachments which are incorporated herein by reference, are true and correct to the best of my knowledge, information and belief. Date: Signature: Last 4 digits of attorney's Social Security No. (for positive identification purposes): NOTE: Make check payable to "U.S. Court of Appeals Non-Appropriated Fund, 11th Circuit." This application, with proof of service, a certificate of good standing from your qualifying court, and $50 pro hac vice application fee should be forwarded to: Clerk, U.S. Court of Appeals, Eleventh Circuit, 56 Forsyth Street, N.W., Atlanta, GA 30303. Rev.: 4/06 American LegalNet, Inc. www.USCourtForms.com
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