UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF GEORGIA Scott L. Poff Clerk OFFICE OF THE CLERK PRO HAC VICE ADMISSION - INFORMATION AND INSTRUCTIONS Local Rule 83.4 sets forth the requirements for admission pro hac vice LR 83.4. Permission to Practice in a Particular Case. (a) Georgia bar members who reside in this district or maintain their principal place of Any member this district shall of the bar before this Court via pro hac business in in good standing not appear of any other district court of the United join this Court's not a resident of this vice admission, but instead must States who is bar, even to represent someone district and who does in one (or an occasional) case. not maintain an office in this district for the practice of law may be permitted to appear and participate in a to LR 83.4(a), but who is in good standing with (b) Any attorney not subject particular case before Court, whether civil the or criminal, with the prior approval of to appear and participate bar of another federal district court, may be permittedthis Court and upon the payment of a minimal fee, civil or to the following in a particular case before this Court, whether subject criminal, with the prior approval provisions. of this Court, subject to the following conditions: (1)(a) The Court counsel must designate, by a a party filed in the pro hac vice requires, in a case where writing is represented only by counsel not a member of willing of this this case in which appearance is sought, somethe bar member of Court, such counsel to whom motions and writing be served. For that Court's bar upondesignate, by a papers mayfiled in that case some willing member of the local bar of designation to be effective, such local counselthis enter a upon whom must Court written motions and papers appearance in the case. may be served. That designation shall not become effective until such local counsel has entered a In any case in a writing filed (2)written appearance herein. pro hac vice counsel also must: (i) certify, inwhich an attorney makes an appearance in any action or case pending in this with this Court, membership in good standing of a federal district court (ii) file with the is not a member a the bar of court; andand said attorney Clerk of this Court ofcertificate of this Court, he shall certify good standing from that court.that he is a member in good standing of a district court of the United States and shall file a (c) Any certificate of good standing from that court with the Clerk of attorneys representing the United States Government, or any agency thereof, the appear and participate in particular actions or proceedings in an may Court. official capacity without a petition for admission, provided the attorney is a (b) Any attorneys representing the United States Government, member of a federal district court's bar. Any such attorney so appearing shall or any agency thereof, appear and participate in certify to the Court in writing that he may she has read and is familiar with the or particular actions or proceedings so his official judge, any local rules. Further, unless excused from doing in by the presiding capacity without a be accompanied at hearings and trials is a member of a such attorney shall petition for admission, provided heby an Assistant United bar of a this district who the also review and States Attorney of district court ofshall United States. sign pleadings. _________________________ Admission Fee:$200.00 or U.S. Postal money money cashier's check, Admission Fee: $200 cash cash or U.S. Postal order, order, cashier'sor law $50.00 firm check made or law firm check made payable to Court. When making check, payable to the Clerk, U.S. District the Clerk, U.S. application by motion for When making applicationby motion for of the fee District Court. admission pro hac vice on-line, payment admission shall be made by credit card. ______________________ Application:Type, completing allall blanks. Application: Type, completing blanks. Designated Local Counsel: Must be an active member in good standing of the Designated Local Counsel: Must be an active member in good standing __________________________ Bar of thisthe Bar of this Court. of Court. Mandatory Requirements: Provide a list of cases filed in this this _________________________________________ Mandatory Requirements: Provide a list of all all cases filed in Court in which applicant has appeared as counsel. Court in which applicant has appeared as counsel. American LegalNet, Inc. www.FormsWorkFlow.com United States District Court Southern District of Georgia ________________________ Plaintiff v. ________________________ Defendant Case No. ________________________ Appearing on behalf of _________________________________ (Plaintiff/Defendant) ORDER OF ADMISSION It appearing to the Court that the requirements stated in LR 83.4 for admission pro hac vice have been satisfied, Petitioner's request to appear pro hac vice in the United States District Court for the Southern District of Georgia in the subject case is GRANTED. This _______ day of _______________ , ______ . _____________________________ UNITED STATES DISTRICT/MAGISTRATE JUDGE ***** NAME OF PETITIONER: Business Address: ______________________________________________________ ______________________________________________________ Firm/Business Name ______________________________________________________ Street Address _____________________ ______________________ ________ Street Address (con't) City State Zip ______________________________________________________ Mailing Address (if other than street address) _____________________ ______________________ ________ Address Line 2 City State Zip __________________________________ ___________________ Telephone Number (w/ area code) Georgia Bar Number Email Address: ______________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com United States District Court Southern District of Georgia ___________________________________ Plaintiff v. ___________________________________ Defendant Case No. _______________________________ Appearing on behalf of : ____________________ ________________________________________ (Plaintiff/Defendant) APPLICATION FOR ADMISSION PRO HAC VICE Petitioner, ______________________________ hereby requests permission to appear pro hac vice in the subject case filed in the __________________ Division of the United States District Court for the Southern District of Georgia. 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