UNITED240STATES240BANKRUPTCY240COURT NORTHERN240DISTRICT240OF240FLORIDA APPLICATION240FOR240FILING240AGENT240ACCOUNT(S)I, , an active CM/ECF user in good standing with the Northern District of Florida, request that the following person(s) be provided a login and password to the CM/ECF system in the Northern District of Florida as a Filing Agent on my behalf. 1.By requesting Filing Agent access for a person in my employ, I understand and agree to accept fullresponsibility for any and all cases, documents and/or pleadings filed by this/these person(s).2.I affirm that I have provided the necessary CM/ECF training to or have requested that the Court provideCM/ECF training to this/these person(s) to ensure the correct filing of cases, documents and/orpleadings.3.I affirm that this/these person(s) have read and are familiar with the Local Rules for the U.S. BankruptcyCourt for the Northern District of Florida.4.Furthermore, I agree to immediately notify the Court of the need to deactivate the account(s) in theevent the Filing Agent leaves my employ or should no longer file cases, documents and/or pleadings onmy behalf.FLNB Local Form A-6 (09/17) Date: Attorney or Trustee Signature CM/ECF Login:Email this completed application to: CMECFHelpDesk@flnb.uscourts.gov NOTE: The login(s) and password(s) will be sent to the primary email address in CM/ECF for the attorney submitting this application. Please do not include your password Firm: Address: Phone: attorney or trustee American LegalNet, Inc. www.FormsWorkFlow.com