ELECTRONIC FILING ATTORNEY REGISTRATION FORM UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT Rev. 05/19/08 This form is used to register for an account on the District of Connecticut Electronic Filing System (the CM/ECF System). Registered attorneys are permitted to electronically file documents and, in conjunction with a PACER access account, to view the electronic docket sheets and documents. Procedures for using the CM/ECF System can be downloaded from the court’s website at www.ctd.uscourts.gov/cmecf. To register, the following information is required: PLEASE TYPE OR CLEARLY PRINT (IF W E C AN N O T R E AD YO U R FO R M IT W ILL B E R E TU R N E D TO YO U U N P R O C E S SE D ) First Name: ________________________________________ Middle Name: ____________________________________ Last Name: _______________________________________________ If appropriate check one: ( )Sr. ( )Jr. ( )II ( )III Are you currently in good standing in all courts in which you are admitted to practice? Yes _____ No _____ Firm Name: Address: City: State: Voice Telephone Number: ( ) Zip Code: Fax Number: ( ) E-Mail Address (REQUIRED): Attorneys seeking to file documents electronically must be admitted to practice in the United States District Court for the District of Connecticut pursuant to Local Rule of Civil Procedure 83.1. Date admitted to practice in this court: Federal Bar Number: If admitted pro hac vice: Date motion for pro hac vice granted: in case number: If Attorney of Record in MDL action indicate 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 CM/ECF 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. Electronic filing is only permissible in cases approved by the court. Signature of Registrant Date FAX COMPLETED REGISTRATION FORM TO (203) 773-2334 or send by regular mail to: Robin D. Tabora, Clerk United States District Court Attention: Electronic Filing System Registration 141 Church Street New Haven, CT 06510 Once your registration is processed, you will receive an email confirmation containing you user id and password. Should you misplace or forget your password, it can be provided by e-mail, in person or by U.S. mail - it will not be provided by telephone. If you have any questions concerning the registration process or the use of the CM/ECF System, please contact the clerk’s office. American LegalNet, Inc. www.FormsWorkflow.com