SUP ERIOR COURT FORM 4 0 Admission Pro Hac Vice Form 4 0. Admission pro hac vice (Rule 90.1) IN THE SUPERIOR COURT OF THE STATE OF DELAWARE ___ ___ ___ ___ ___ ___ ___ ___ , Plain tiff(s), V. ________________________, Defenda nt(s). ) ) ) ) ) ) ) ) ) ) C.A. No._____________ MOTION AND ORDER FOR ADMISSION PRO HAC VICE 1. ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ _, a member of the De law are bar, (name of mova nt - print or type) pursuant to Rule 90 .1, moves the admission pro h ac vice of: ______________________________________________________________________ (name of applicant - type or print) ________________________________________________________________________ (firm - type or print) ________________________________________________________________________ (office address - type or print) _________________________________________________________________________ (office telephone number - type or print) to represent ______________________________________________________________ (name of party - type or print) in this action. Movant certifies that movant finds the applicant to be a reputable and competent attorney, and movant is in a position to recommend the applicant's admission. The applicant admitted, practicing, and in good standing in _________________________________________________________________________ (name of other jurisdiction - type or print) __________________________________________ (movant's signature) ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __ h ere by certifies: (name of applicant - type or print) American LegalNet, Inc. www.FormsWorkFlow.com 1. That applicant shall be bound by the Delaware Lawyers' Rules of Professional Conduct. That applicant and all attorneys of the applicant's firm who directly or indirectly provide service s to the party or cause at issue s hall be bound by all Ru les of the Court. That applicant h as re viewed the Principle s of Professionalism for De law are Lawyers. That applicant consents to the appointment of the Prothonotary as agent upon whom service of process may be made for all actions, including disciplinary actions , that m ay a rise out of the practice of law under this rule and any activities related there to. The applicant has appeared in __ ___ ___ ___ ___ action s in court of record of (insert number) De law are in the p receding twelve (1 2) months. Applicant does not maintain an office in the State of Delaware except: __________________________________________________________ (if none, note "no exceptions") That applicant is a member in goo d standing of the bar of the State of: __________________________________________________________ (designate applicant's principal state of admission) Applicant has not been disbarred or suspended and is not the object of any pending disciplinary proceedings in any jurisdiction where the applicant has been admitted generally, pro h ac vice, or in any other w ay, except: ________________________________________________ (if none, indicate "no exceptions") Applicant is admitted for the practice of law in the following states or other jurisdictions: ______________________________________________________________ (print or type) Payment to the Prothonotary for the pro hac vice application assessment in the amount of four hundred dollars ($400.00) is attached for deposit pursuant to Superior Court Civil Rule 90.1. Dated: ____________ ______________________________________ (applicant's signature) 2. 3. 4. 5. 6. 7. 8. 9. 10. ORDER The foregoing application for ad mission to practice in this action pro ha c vice is hereby granted. IT IS SO ORDER ED this ________ day of ______________, 20____ . ____________________________________________ Judge (Added, effective June 1, 1992; amended, effective Sept. 28, 1995.) Fee was changed to $375.00 February 1, 2015 Fee was changed to $400.00 January 1, 2016 Revised 03/2016 American LegalNet, Inc. www.FormsWorkFlow.com