UNITED STATES DISTRICT COURT WESTERN DISTRICT OF KENTUCKY ELECTRONIC FILING ATTORNEY REGISTRATION FORM This form is used to register for an account on the Western District of Kentucky Electronic Filing System (the system). Registered attorneys will have privileges to electronically submit documents and to view the electronic docket sheets and documents. By registering, attorneys consent to electronic service of all documents through the court's transmission facilities in accordance with the Federal Rules of Civil Procedure, the Federal Rules of Criminal Procedure and the joint local rules of this Court. The following information is required for registration (please type): First Name: Last Name: Middle Name: Generation: Firm Name: Address: City: State: Telephone Number: Fax Number: Primary E-mail Address: Secondary E-mail Address (if applicable): Zip: Attorney seeking to file documents electronically must be admitted to practice in the United States District Court for the Western District of Kentucky pursuant to Joint Local Rules. No Are you admitted to practice in this Court? Yes If admitted pro hac vice give case number in which pro hac vice status was granted: By signing this form, you shall certify that you have read and are familiar with the rules of practice and the administrative procedures guide governing electronic filing, which may be found at www.kywd.uscourts.gov and that you have a PACER account. Visit the PACER web site at http://www.pacer.gov to establish a PACER account. Please verify your method of training: web-page tutorial; provided by court personnel; (other court). provided by in-house certified trainer; court training in other jurisdiction: By submitting this registration form, the undersigned agrees to abide by all Court rules, orders and policies and procedures governing the use of the electronic filing system. The combination of user id and password will serve as the signature of the attorney filing the documents. Attorneys must protect the security of their passwords and immediately notify the court if they learn that their password has been compromised. Signature of Registrant Date American LegalNet, Inc. www.FormsWorkFlow.com Return this completed registration form via hand delivery or U.S. Mail to: United States District Court Attention: Electronic Filing System Registration 601 W. Broadway, Room 106 Louisville, KY 40202 Your login and password to access the system will be e-mailed to you at a time that the Court deteminers to be appropriate. User manuals and other important information regarding the electronic filing system (ECF) are available for downloading from our website. If you have any questions concerning the registration process or the use of the electronic filing system, you may contact the Electronic Help Desk at 1-866-822-8305. American LegalNet, Inc. www.FormsWorkFlow.com