ECF Attorney Registration Form

ECF ATTORNEY REGISTRATION FORM COURT USE ONLY:E - Filing Login Assigned: E - Filing Password Assigned: Q Attorney222s e-mail record updatedQ Password e-mailed to attorneyQ Confirmation e-mail with login sentQ Copy of form mailed to attorneyQ E-mail address confirmed by attorney UNITED STATES DISTRICT COURTCENTRAL DISTRICT OF ILLINOISTo register for an account on this Court222s Electronic Case Filing System (ECF), please complete the following information:[PLEASE TYPE]First Name: Middle Name: Last Name: Bar ID Number and State:Firm Name: Address:City: State: Zip Code:Telephone Number: Primary e-mail address: (Attorney222s individual e-mail for purposes of receipt and confirmation of login and password information)Fax Number:Secondary e-mail address: (For purposes of ongoing notices of filing, e.g. central repository, secretary)Attorneys seeking to file documents electronically must be admitted to practice in the United States District Court for theCentral District of Illinois pursuant to Local Rule 83.5.Date admitted to practice in this Court: Are you currently in good standing? Yes 9 No 9The undersigned agrees to abide by all Court rules, orders, and policies and procedures governing the use of the electronicfiling system. The undersigned also consents to receiving notice of filings pursuant to Fed. R. Civ. P. 5(b) and Fed. R. Crim.P. 49(b) via the Court222s electronic filing system. The combination of user id and password will serve as the signature of theattorney filing the documents. Attorneys must protect the security of their passwords and immediately notify the Court if theylearn that their password has been compromised. The undersigned acknowledges that misuse of the password or violationsof the Local Rules for controlling electronic filing may subject the undersigned to sanctions pursuant to Fed. R. Civ. P. 11. Visitthe PACER web site at http://pacer.psc.uscourts.gov to establish a PACER account.Attorney Signature Date Submit completed Registration Form to: Login name sent via e-mail. Password will be sent viaseparate e-mail after confirmation of receipt of loginname. Contact any of our divisional offices withquestions concerning registration or ECF. Rock Island Division American LegalNet, Inc. www.FormsWorkFlow.com