Certificate Of Good Standing Request Form

CO A600 Rev. 1/2017 UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA 333 Constitution Avenue, NW Washington, DC 20001 (202) 354-3110 Certificate of Good Standing Request Form Name: Bar No.: Address: Date of Admissions: Mail: or Call when ready: Tel. #: You may request a certificate of good standing in writing or by completing this form. The fee is $19.00. Please make checks payable to the "Clerk, U.S. District Court." The certificate may be mailed or you may come to Room 1225 and the certificate will be prepared while you wait. American LegalNet, Inc. www.FormsWorkFlow.com