FORM A UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF IOWA ELECTRONIC CASE FILING SYSTEM ATTORNEY REGISTRATION FORM PLEASE TYPE This form shall be used to register for accounts on the court's CASE MANAGEMENT/ELECTRONIC FILES (CM/ECF) systems in the United States District Court for the Northern District of Iowa. Registered attorneys and other participants will have privileges both to electronically submit documents and to view and retrieve electronic docket sheets and documents as available for cases assigned to the CM/ECF systems. The following information is required for registration: First/Middle/Last Name: ________________________________________________________________________ Last Four Digits of Social Security Number: ______________________________________________________ Firm Name: __________________________________________________________________________________ Firm Address: _________________________________________________________________________________ ________________________________________________________________________________ Voice Phone Number: __________________________________________________________________________ FAX Phone Number: __________________________________________________________________________ Internet E-Mail Address: ________________________________________________________________________ Additional E-Mail Address: ______________________________________________________________________ Does your E-mail Software support HTML messages? Yes______ No _______ Do you currently have a login for CM/ECF for the Northern District of Iowa Bankruptcy Court? Yes___ No____ If you currently have a login and wish to use the same login id in the district court, please list the login here: _____________________________. NOTE: Only the login will be remain the same. You will be issued a new password with your district court login. By submitting this registration form, the undersigned agrees to abide by the following rules: 1. The systems are for use only in cases designated by the U.S. Courts for the Northern District of Iowa. The systems may be used to file and view electronic documents, docket sheets and notices. 2. Each attorney desiring to file pleadings or other papers electronically must complete and sign an Attorney Registration Form. An attorney/participant’s password issued by the court, combined with the user’s identification (login), serves as and constitutes the attorney/participant’s signature. Therefore, an attorney/participant must protect and secure the password issued by the court. If there is any reason to suspect the password has been compromised in any way, such as resignation or reassignment of the person with authority to use the password, it is the duty and responsibility of the attorney/participant to notify the court immediately. The court will immediately delete the password from the electronic filing system and issue a new password. Pursuant to Federal Rule of Civil Procedure 11, every pleading, motion and other paper shall be signed by at least one attorney of record or, if the party is not represented by an attorney, all papers shall be signed by the party. The electronic filing of a petition, pleading, motion, or other paper by an attorney who is a registered participant in the Electronic Filing System shall constitute the signature of that attorney under Federal Rule of Civil Procedure 11. 3. American LegalNet, Inc. www.USCourtForms.com 4. Registration as a Filing User constitutes: (1) consent to receive notice electronically and waiver of the right to receive notice by first class mail pursuant to Federal Rule of Civil Procedure 5(b)(2)(D); (2) consent to electronic service and waiver of the right to service by personal service or first class mail pursuant to Federal Rule of Civil Procedure 5(b)(2)(D) except with regard to service of a summons and complaint. Waiver of service and notice by first class mail applies to notice of the entry of any order or judgment. 5. A user accesses court information via the court’s Internet site or through the Public Access to Court Electronic Records (“PACER”) Service Center. Although the court manages the procedures for electronic filing, all electronic public access to case file documents occurs through PACER. A PACER login is required in addition to the password issued by the court. To register for PACER, a user must complete the online form or submit a registration form, available on the PACER web site (http://pacer.psc.uscourts.gov). 6. By this registration, the undersigned agrees to abide by all of the rules and regulations in the most recent Administrative Order, Administrative Procedures for Filing, Signing, and Verifying Pleadings and Papers by Electronic Means currently in effect and any changes or additions that may be made to such Administrative Procedures in the future. Please return to: U.S. Courts Northern District of Iowa Attn: ECF Attorney Registration P.O. Box 74710 101 First Street SE Cedar Rapids, IA 52401 Cedar Rapids, IA 52407 ___________________________ Date ____________________________________________________ Attorney/Participant Signature Your login and password will be sent to you by the Office of the Clerk by regular, first-class mail. If you prefer to have your login/password sent to an address other than the one listed on the first page of this form, please write the address in the space provided below: Firm Address: ______________________________________________________________ ______________________________________________________________ COURT USE ONLY: Login Assigned Password Assigned Issuer Date test email sent Date reply returned Date login sent to user Date Scanned 2 American LegalNet, Inc. www.USCourtForms.com United States District Court Northern District of Iowa Credit Card Authorization Form INSTR UC TIO NS: Please type or print. Mail completed and signed form to: U.S. District Court, Financial Department, 101 First Street SE Cedar Rapids, IA 52401 Firm / Company: ______________________________________________ Phone number: ___________________________ Credit Card Type: VISA Card Holder Name: ______________________________________________ Credit Card Number: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Expiration Date: __ __ / __ __ (MM/YY) Security Code: __ __ __ __ Credit Card Statement Mailing Address: ( Please list the address (Please list the address to which your statements to which your STATEMENTS are sent) are sent) ______________________________________________ MasterCard Discover Am erican Express (Street address or P.O. Box) _______________________, __ __ Zip: __ __ __ __ __ (City, State & Zip) I acknowledge that the above information is accurate and that I am an authorized signer on the account. I hereby authorize the United States District Court for the Northern District of Iowa to charge to the above credit card account any and all court imposed fees, including but not limited to: filing fees, pro hac vice fees, attorney admission fees and special assessments. Date: ________________________ __________________________________ Signature __________________________________ Print Name This form , which w ill be kept on file in the Clerk’s Office, shall remain in effect until specifically revoked in w riting. It is the responsibility of the attorney/firm n amed above to no tify the Clerk ’s Office of the new expiration date when a credit card has been renewed, or if a card has been canceled or revoked. American LegalNet, Inc. www.USCourtForms.com