UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF NEW YORK REQUEST FOR CHANGE OF CONTACT INFORMATION IN ECF SYSTEM This form is to be used only for a change of address, phone number, fax number, and/or e-mail address of a Filing User of the ECF System. If there will be a substitution of attorney, you must use a “Consent to Substitute Attorney” form and meet the requirements of Local Rule 2091-1(B). Name of requesting Attorney: ______________________________________________________________ Former Firm/Company Name: ______________________________________________________________ Former address: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ New Firm/Company Name: ______________________________________________________________ New address: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Former Phone number: ______________________________________________________________ New Phone number: ______________________________________________________________ Former Fax number: ______________________________________________________________ New Fax number: ______________________________________________________________ Former Primary E-mail address: ______________________________________________________________ New Primary E-mail address: ______________________________________________________________ New Secondary E-mail address(es): ______________________________________________________________ ______________________________________________________________ I hereby authorize the Clerk’s Office to make the necessary changes to update my ECF user account with the new information, as indicated above. I am not requesting a transfer of cases or seeking to substitute counsel. ___________________________ Effective Date __________________________________________ Signature (Print Name of Attorney) Submit the completed, signed form in paper to: Clerk of Court; U.S. Bankruptcy Court, WDNY; Olympic Towers; 300 Pearl Street, Suite 250; Buffalo, New York 14202. attychgaddform 3/2010 American LegalNet, Inc. www.FormsWorkFlow.com