UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF GEORGIA 2211 United States Courthouse, 75 Spring Street, S.W. Atlanta, Georgia 30303-3361 404-215-1600 PRO HAC VICE ADMISSION - INFORMATION AND INSTRUCTIONS Local Rule 83.1B, below, sets forth the requirements for admission pro hac vice. 83.1B. Permission to Practice in a Particular Case. A non-resident attorney who is not an active member in good standing of the State Bar of Georgia, but who is a member in good standing of the bar of any United States court or of the highest court of any State may apply in writing for permission to appear pro hac vice. Applications for admission pro hac vice may be obtained from the clerk and will be filed electronically by designated local counsel. The applicant shall state under penalty of perjury the applicant's (1) residence address, (2) office address and telephone number, (3) the courts to which admitted to practice and the dates of admission, and (4) a statement that the applicant is in good standing and eligible to practice in all courts to which admitted. A non-resident attorney will not be permitted to appear until the applicant's application for admission pro hac vice has been signed by the district judge to whom the case is assigned or by the district judge's courtroom deputy, if so authorized by the district judge. (Emphasis supplied.) An attorney applying to appear pro hac vice must designate a local member of the bar of this Court with whom the opposing counsel and the Court may readily communicate regarding the conduct of the case and upon whom papers shall be served. The address, telephone number, and written consent of the designated local counsel must be filed with the attorney's pro hac vice application. All attorneys signing as local counsel are subject to verification of enrollment and status of good standing with the State Bar of Georgia prior to application approval. The Court would also remind these attorneys of your duty to verify the bar admission status of any attorney you are sponsoring on a pro hac vice basis. If the non-resident attorney fails to respond to any order of the Court for appearance or otherwise, the local attorney shall have the responsibility and full authority to act for and on behalf of the client in all proceedings in connection with the case, including hearings, pretrial conferences, and trial. Electronic Application: Applications for admission pro hac vice may also be obtained from the Courts web site at www.gand.uscourts.gov and will be filed electronically by designated local counsel. Payment must be made concurrent with the electronic filing of the completed application. Admission Fee: $150.00: Credit card, cash, U.S. Postal money order, cashier’s check, or law firm check payable to Clerk, U.S. District Court. Credit card payment may be utilized online, and payments must be filed electronically by designated local counsel. Application: 1.Please complete all blanks. 2.Filed online by designated local counsel at www.gand.uscourts.gov. Designated Local Counsel: Must be an active member in good standing of the State Bar of Georgia and the Bar of this Court and maintain an office and reside in the Northern District of Georgia. MANDATORY REQUIREMENTS 1. 2. 3. 4. Provide a list of all cases filed in this Court in which applicant has appeared as counsel. Type local counsel's name below the signature line and enter the bar number in the space provided. Pay $150.00 fee at time of filing. Once the order is signed and pro hac vice admission is granted, you may register for Electronic Case Filing (ECF) online at www.gand.uscourts.gov. American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF GEORGIA __________________________________ Plaintiff v. ___________________________________ Defendant. ) ) ) ) ) ) ) CASE NO.: __________________________________ Appearing on behalf of: ________________________ ________________________________________________ (Plaintiff/Defendant) APPLICATION FOR ADMISSION PRO HAC VICE , hereby requests permission to appear pro hac Petitioner, vice in the subject case filed in the Division of the United States District Court for the Northern District of Georgia. Petitioner states under penalty of perjury that (he/she) is a member in good standing of the Bar of the following United States Court, , and/or the highest Court of the State of . Petitioner states further that (he/she) is not eligible for admission under Local Rule 83.1A and that (he/she) does not reside or maintain an office for the practice of law in the State of Georgia. Petitioner states that (he/she) has provided fully all information requested on the reverse side of this application. Petitioner designates as local counsel. His/her business address is provided below in the Consent of Designated Local Counsel. This day of , 20 . (Signature of Petitioner) COURTS TO WHICH ADMITTED (Identify Court and Location) American LegalNet, Inc. www.FormsWorkFlow.com CONSENT OF DESIGNATED LOCAL COUNSEL I, , designated local counsel for the subject case, agree to readily communicate with opposing counsel and the Court regarding the conduct of this case and accept papers when served and recognize my responsibility and full authority to act for and on behalf of the client in all proceedings related to this case, including hearings, pretrial conferences and trials, should the Petitioner fail to respond to any Court order for appearance or otherwise. This Georgia Bar Number day of , 20 . Signature _______________________________________________________________ Printed Name Business Telephone Law Firm Business / Mailling Address ____________________________________________________________________ City State Zip American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF GEORGIA __________________________________ Civil/Criminal Action Number ORDER OF ADMISSION It appearing to the Court that the requirements stated in LR 83.1B for admission pro hac vice have been satisfied, Petitioner's request to appear pro hac vice in the United States District Court, Northern District of Georgia in the subject case is GRANTED. This _______ day of _______________________, 20____. _______________________________________________ UNITED STATES DISTRICT JUDGE *** NAME OF PETITIONER: ______________________________________________________________ Residence Address: _______________________________________________________________ Street Address _______________________________________________________________ City Business Address : State Zip Code ________________________________________________________________ Law Firm ________________________________________________________________ Street Address City State Zip Code ________________________________________________________________ Mailing Address if Other Than Street Address _______________________________________________________________ Telephone Number (include area code) American LegalNet, Inc. www.FormsWorkFlow.com