Application For Admission To Practice

UNITED STATES DISTRICT COURT District of Nebraska APPLICATION FOR ADMISSION TO PRACTICE $181.00 1 Provide case number if admission requested by court: _____________________ Appearing on behalf of: _________________________________ I, ______________________________________, do hereby certify that I have been enrolled as a member of the Bar of the Supreme Court of ______________________________ and I now desire to be enrolled as a member of the Bar of the United States District Court for the District of Nebraska. ___________________________ (Bar Code or Number, if applicable) ________________________________________ ________________________________________ ________________________________________ ________________________________________ (Law Firm or Federal Agency) (Mailing Address) (City, State, Zip) (Telephone/Fax Number) I, ____________________, swear, affirm, or acknowledge that as an officer of the United States District Court for the District of Nebraska, I will demean myself faithfully, uprightly, and according to law; and that I will support, uphold, and defend the Constitution of the United States of America. DATED this ____ day of ______________________, 20__. _________________________________________________ (Signature of Applicant) (Original signature required when submitted in paper) ========================================================================= IT IS ORDERED: Applicant is hereby admitted to practice as an attorney and counselor at law in the United States District Court for the District of Nebraska. DATED this ____ day of __________, 20__. __________________________________________________ (Deputy Clerk) Last update 12/01/16 1 The $181.00 filing fee is waived for federal agency attorneys. American LegalNet, Inc. www.FormsWorkFlow.com