UNITED STATES DISTRICT COURT FOR THE DISTRICT OF DELAWARE E-NOTICING REGISTRATION FORM FOR ATTORNEYS ADMITTED PRO HAC VICE An attorney admitted pro hac vice may register for CM/ECF noticing on a case-by-case basis. Once noticing is activated, documents filed electronically may be retrieved via an e-mail generated Notice of Electronic Filing (NEF). The name and primary e-mail address of each pro hac vice attorney registered for e-noticing will appear on the docket below his or her local counsel, linked with a single party. Per Local Rule 83.5(d), this registration does not provide e-filing rights. " New Request or (Select one) " Correction/Edit:____________________________ (e.g., add secondary, change primary e-mail address) (Case Type & Number, e.g.., CA 12-1234 GMS) (Please Print or Type all information) PRO HAC VICE GRANTED IN: CASE # ________________________________________________________ DATE OF ORDER GRANTING PRO HAC VICE: _________________________________________________ PARTY (Name only one - even when rep. more than one party):________________________________________________ DATE ANNUAL $25.00 PRO HAC VICE FEE PAID: ____________________ RECEIPT #_______________ (IF KNOWN) PRIMARY E-Mail Address:___________________________________________________________________ (Optional) Secondary E-Mail Address:___________________________________________________________ NOTE: Replaces previous secondary e-mail address when applicable - only one secondary is permitted per pro hac attorney. Last Name:___________________________________________________ Generation: (e.g., Jr., Sr.) ___________ First Name:___________________________________________________ Middle Initial:____________________ Firm's Name: _________________________________________________________________________________ Address:_____________________________________________________________________________________ City: ______________________________________________ State: _____________ Zip Code: ______________ Phone No.: ________________________________________ FAX No.: __________________________________ I agree to notify the Clerk's office if there is a change in any of the information provided above. In the event that I am no longer affiliated with subject case, I will arrange for local counsel to file the appropriate notice via CM/ECF. *See Below ______________________________________________________ Signature _____________________________ Date * COMPLETE, PRINT, SIGN, and SCAN this form as an e-mail attachment (pdf) to our designated box: : COURT USE ONLY (ECF Pro Hac Vice Reg. Form - Rev. 7/12) DATE RECEIVED: _____________ ____ ____________ ProHacViceNoticing@ded.uscourts.gov Subject: Pro Hac Vice Noticing (Paper courtesy copy NOT required) --------------------------------------------------------------------------------------Clerk, U.S. District Court for the District of Delaware ATTN: ECF Registration, Room 4209 844 N. King Street, Unit 18 Website: ded.uscourts.gov Wilmington, DE 19801 Phone: (302) 573-6170 " PHV STATUS VERIFIED " ANNUAL PHV FEE PAID DATE E-NOTICING ACTIVATED: ENTERED BY: __ American LegalNet, Inc. www.FormsWorkFlow.com