Application For Special Admission Pro Hac Vice And Order Thereon
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Application For Special Admission Pro Hac Vice And Order Thereon Form. This is a Oregon form and can be use in Bankruptcy Court Federal.
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Tags: Application For Special Admission Pro Hac Vice And Order Thereon, 120, Oregon Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
DISTRICT OF OREGON
In re:
Debtor(s)
Plaintiff(s)
v.
Defendant(s)
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Case No:________________
APPLICATION FOR SPECIAL
ADMISSION PRO HAC VICE,
AND ORDER THEREON
Adv. Proc. No. (if applicable):_____________
The undersigned, attorney for the following named party(s): _______________________________________
_________________________________________, moves for admission of the following attorney pro hac vice:
(a) APPLICANT ATTORNEY INFORMATION
(1) Personal Data:
(A) Attorney's Name:
(B) Firm or Business Affiliation:
(C) Mailing Address:
(D) Business Telephone Number:
(E) Fax Telephone Number:
(F) E-Mail Address:
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(2) Bar Admissions Information: I certify that I am now a member in good standing of the following State
and/or Federal Bar Association:
(A) State Bar Admissions, Standing, Admissions Date and BAR ID Number:
(B) Federal Bar Admissions, Standing, Admissions Date and BAR ID Number:
(3) Certification of Disciplinary Proceedings:
I certify that I am not now, nor have I ever been subject to any disciplinary action by any State or
Federal bar association or administrative agency.
I certify that I am now, or have been subject to disciplinary action from a State or Federal bar
association or administrative agency (see attached letter of explanation).
(4) Certification of Professional Liability Insurance: I certify that I have a current professional liability
insurance policy that will apply in this case, and that the policy will remain in effect during the course of
these proceedings.
(b) CERTIFICATION OF ASSOCIATED LOCAL COUNSEL: I certify that:
(1) I am a member in good standing of the Bar of this court, and that I will serve as designated local counsel
in this particular case.
(2) I have verified the information supplied by the applicant in pt. (a)(2).
(3) Local Counsel's Personal Data:
(A) Name and Oregon State Bar ID Number:
(B) Firm or Business Affiliation:
(C) Mailing Address:
(D) Business Telephone Number:
(E) Fax Telephone Number:
(F) E-Mail Address:
(4) Meaningful Participation Requirements: I certify that I have discussed the participation requirements
of LR 83.3 with my associate counsel.
(c) SIGNATURES OF COUNSEL
______________________________________
Local Counsel
NAME:
ADDRESS:
______________________________________
Special Admissions Applicant
NAME:
ADDRESS:
PHONE:
PHONE:
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