CM ECF Auditor Registration Form {NVB 5005.5}

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEVADA CM/ECF AUDITOR REGISTRATION FORM This form is to be used to register for LIMITED FILING PRIVILEGES for filing auditor's reports. The following information is required for CM/ECF registration: Contact Information Name (First, Middle, Last): _______________________________________________ Agency/Company:______________________________________________________ E-Mail Address: Street Address: _______________________________________________________ _______________________________________________________ Phone Number: __________________ Fax Number: ____________________ Does your agency e-file in any other U.S. Bankruptcy Courts? ______ If so, where: ______________________________________________________________ Designated ECF contact person: Phone Number: __________________ E-Mail Address: __________________ By signing and submitting this registration form, I agree to abide by the following requirements: 1. Signatures on documents shall be indicated by "/s/" and the typed name of the person signing in the following format: "/s/ Janet Smith" on the signature line. I understand that use of my Limited Use password to file a document in the record of a bankruptcy case will constitute my signature for all purposes authorized and required by law, including, without limitation, the United States Code, Federal Rules of Civil Procedure, Federal Rules of Bankruptcy Procedure, Federal Rules of Criminal Procedure and any applicable non bankruptcy law. -1- American LegalNet, Inc. www.FormsWorkflow.com 2. The login and password for filing via the Internet shall be used exclusively by me and by any of my employees to whom I give authorization. All proofs of claim or other documents filed using my password will contain my signature as set forth above. I agree to abide by all of the requirements set forth in Electronic Filing Procedures posted at www.nvb.uscourts.gov and any changes or additions that later may be made. 3. Date: ______________________ Please return to: Clerk, United States Bankruptcy Court The Foley Federal Building 300 Las Vegas Blvd., So. Las Vegas, NV 89101 Attn: CM/ECF Systems Adminstrator ________________________________ Signature 10/06 -2- American LegalNet, Inc. www.FormsWorkflow.com