Petition For Admission To The Southern District Of Florida Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition For Admission To The Southern District Of Florida Form. This is a Florida form and can be use in USDC Southern Federal.
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Tags: Petition For Admission To The Southern District Of Florida, Florida Federal, USDC Southern
PETITION FOR ADMISSION TO THE SOUTHERN DISTRICT OF FLORIDA
Print Full Name:
Florida Bar #:
Last 4 digits
of SSN:
Date of Birth:
Home Address:
City:
State:
Zip Code:
Home Phone:( )
Email:
Firm Name:
Firm
Address:_______________________________________________________________________________
City:
State:
Firm Phone: (
)
Zip Code:
Firm Fax No.: (
)
COMES NOW the above named petitioner, and subject to the provisions of the Special Rules Governing the
Admission and Practice of Attorneys, applies for admission to the U.S. District Court, Southern District of Florida.
1.
I am an active member in good standing of The Florida Bar. An original (with raised seal) Certificate of
Good Standing from the Florida Bar or the Supreme Court of Florida dated within 90 days of the date of
the exam for which I am registering for is enclosed. I understand that a copy or fax of a Certificate of Good
Standing is not acceptable nor is a certificate from another district court. The application fee of $175.00
is also enclosed with my application package.
2.
I am admitted to practice before The Florida Bar and was admitted on the date indicated:
A)
3.
The Florida Bar
Year: ______
I desire to register for the Southern District of Florida exam as indicated:
Date:
9 January
9 April
9 July
9 October
Location(check one only):
9 Miami
9 Ft. Lauderdale
9 West Palm Beach
I CERTIFY that the above information is true and accurate.
RESPECTFULLY SUBMITTED,
Signature: __________________________________________________ Date: ___________________
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