UNITED STATES DISTRICT COURT Western District of New York ELECTRONIC CASE FILING SYSTEM REGISTRATION FORM This form shall be used to register for an account on the Courts' Case Management/Electronic Files (CM/ECF) system. Registered attorneys will have privileges to electronically submit and to view the electronic docket sheets and documents. By registering, attorneys consent to receiving electronic notice of filings through the system. The following information is required for registration: PLEASE TYPE First/Middle/Last Name:_______________________________________________________ Firm Name:_________________________________________________________________ Firm Address:_______________________________________________________________ Voice Phone Number:_______________________ FAX Number:______________________ Internet E-Mail Address:_______________________________________________________ Additional E-Mail Address (optional): __________________________________________________________________ Does your E-Mail Software support HTML messages? Yes______ No_____ Attorneys seeking to file documents electronically must be admitted to practice in the United States District Court for the Western District of New York or otherwise permitted as a filing user. Date admitted to practice in this Court:___________________________ If admitted pro hac vice: Date motion for pro hac vice granted:________________in case number:_____________ By submitting this registration form, the undersigned agrees to abide by all Court rules, orders and policies and procedures governing the use of the electronic filing system. The undersigned also consents to receiving notice of filings pursuant to Fed. R. Civ. P. 5(b) and 77(d) via the Court's electronic filing system. The combination of user id and password will serve as the signature of the attorney filing the documents. Attorneys must protect the security of their passwords and immediately notify the court if they learn that their password has been compromised. _______________________________________________ Signature of Registrant ________________________ Date American LegalNet, Inc. www.FormsWorkFlow.com Submit completed Registration Form to: Michael J. Roemer, Clerk United States District Court Attn: CM/ECF Registration 2 Niagara Square Buffalo, New York 14202 Your login and password will be sent to you by the Office of the Clerk via U.S. mail marked "Confidential." If you prefer to pick up your login and password in person at the Clerk's Office, please mark your initials below as approval for an alternate delivery method: Attorney Initials: ________ American LegalNet, Inc. www.FormsWorkFlow.com