UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF LOUISIANA Application for Limited Use/Claim Password for Electronic Case Filing System I, ___________________________________, understand that by submitting this application and receiving a password, I agree to adhere to the court’s orders authorizing electronic case filing, and to the rules promulgated for the court’s Electronic Case Filing System. I am providing the following information as a condition of receiving my password: (Please Print or Type) Name:________________________________________________________________________ Address:______________________________________________________________________ Phone #:______________________________ FAX #:__________________________________ E-Mail Address:________________________________________________________________ Bar ID# (if applicable)_____________________ State of:_______________________________ I, ______________________________________, certify that I have personally completed the Proof of Claim and Motion/Application on-line Electronic Learning Modules located on the website for the U. S. Bankruptcy Court, Eastern District of Louisiana. Date of training: _________________________________. OR I, ______________________________________, certify that I have completed CM/ECF training in another federal court. Date and location of training:__________________________ _____________________________________________________________________________ I have read, understand, and agree to the following rules: 1. Claims or Other Limited Use Application: I affirm that I am authorized to prepare and file Proofs of Claim, Applications to Withdraw Unclaimed Funds, Notices of Appearance, Assignment of Claims, Transfer of Claims, and am authorized to execute and submit Reaffirmation Agreements on behalf of ______________________________ _________________________________________. (Attach separate sheet if necessary.) 2. I understand that use of my Limited Use password to file a document in the record of the bankruptcy case or proceeding will constitute my signature upon and my signing of any proofs of claim or other papers or documents filed by use of the password obtained pursuant to this Application. American LegalNet, Inc. www.FormsWorkFlow.com 3. I understand that it is my responsibility to maintain in my records all documents bearing my original signature that are filed using my password, and all documents bearing the original signature of any signer on whose behalf I file the documents using my password, for a period of one year after the case or proceeding in which the papers are filed has been closed. 4. I understand that it is my responsibility to protect and secure the confidentiality of my password. If I believe that my password has been compromised, it is my responsibility to notify the court in writing immediately. 5. I understand that it is my responsibility to notify the court, immediately, of any change in my address, telephone number, fax number, or email address. 6. I understand that service of the Notice of Electronic Filing through the court’s electronic filing system upon users who have ECF passwords with the court is the equivalent of service upon such parties by first class mail, postage prepaid. However, service upon the debtor or other parties entitled to service who are not registered for electronic service must be made by first class mail, postage prepaid. Moreover, in cases where service of documents filed electronically is insufficient through the court’s electronic filing system, full compliance with Federal Rules of Bankruptcy Procedure, including Rules 2002(j), 7004(b), and 9016(b) is required. __________________________________________ Applicant Signature Please return to: ______________________________ Date Systems Department Attn: ECF Creditor Registration United States Bankruptcy Court 500 Poydras Street, Suite B-601 New Orleans, Louisiana 70130 REVISED: March 2009 American LegalNet, Inc. www.FormsWorkFlow.com