STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 22nd JUDICIAL CIRCUIT McHENRY COUNTY ________________________________________________ vs. ________________________________________________ Case Number_________________________________________ APPLICATION FOR ADMISSION OF COUNSEL PRO HAC VICE I, ____________________________________, pursuant to Supreme Court Rule 707 and Rule 3.01(c) of the Local Rules of the Twenty-Second Judicial Circuit, hereby request permission to appear and participate as an attorney of law in the above entitled cause, on behalf of _____________________________________________, a party in this cause. In support of this application, I ________________________________________________, being first duly sworn on oath state as follows: 1. I am a licensed attorney and counselor at law in the State of _______________________, where I regularly practice law. My attorney registration number in that State is ___________________________________. 2. In addition, I am licensed to practice law in the States of _______________________________, and am admitted to practice before the following federal courts______________________________________________. I have never been licensed to practice law in the State of Illinois or I was licensed to practice law in the State of Illinois from ____________________ to _____________________________ (strike the inapplicable portion). 3. I have practiced law for ______________________ years. 4. I have made the following pro hac vice application to the Courts of the State of Illinois: County Case Number Case Title Granted or Denied(if denied, explain) 5. I have never been suspended or disbarred by any court. 6. The following disciplinary proceedings have been instituted against me (include title, number, jurisdiction involved, allegations and outcome):_____________________________________________ Page 1 of 2 CC-APP2 / Revised 12-22-08 American LegalNet, Inc. www.FormsWorkflow.com ___________________________________________________________________________________ ___________________________________________________________________________________ 7. I (will) (will not) retain an attorney licensed to practice law in the State of Illinois as local counsel. 8. My qualifications to act as counsel in this case include _______________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ 9. I am familiar with, and will abide by, the Illinois Code of Civil Procedure, Illinois Supreme Court Rules, and Local Rules of the Twenty-Second Judicial Circuit. In particular, I am familiar with Supreme Court Rule 137. 10. I agree to immediately notify the Court and all counsel of record in the event any information provided in this application changes or becomes inaccurate. Name_______________________________________ ____________________________________________ Signature Firm Name__________________________________ Subscribed and Sworn to before me this ________ day Address_____________________________________ _______________________________, 20_________. City, State Zip________________________________ ____________________________________________ Notary Public Telephone___________________________________ Local Rule 3.01(c) Appearance of Counsel Pro Hac Vice – An attorney who is not licensed to practice law in the State of Illinois may seek permission to represent a party in a particular cause in this Circuit by presenting a verified application for admission of counsel pro hac vice. The application must be substantially in the form provided in Appendix A to the Rule. The application must be presented personally by the attorney seeking admission pro hac vice, upon proper notice to all parties or attorneys of record. The application shall be presented to the judge assigned to the cause, or if the cause is not yet assigned, to the Presiding Judge of the court division to which the cause will be assigned. The application will be granted or denied in the exercise of the judge’s discretion. Page 2 of 2 CC-APP2 / Revised 12-22-08 American LegalNet, Inc. www.FormsWorkflow.com