UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF LOUISIANA Application for Attorney Password for Electronic Case Filing System I, _____________________________________________, certify that: (Check one) _____I am admitted to practice in the United States District Court for the Eastern District of Louisiana, OR _____I am admitted to practice in the state of _______________________________________, and that I am applying to appear on a pro hac vice basis. By submitting this application and receiving a password, I agree to adhere to the court’s orders authorizing electronic case filing, and to the rules promulgated for the court’s Electronic Case Filing System. I am providing the following information as a condition of receiving my password: (Please Print or Type) Attorney Bar ID# and State: ______________________________________________________ Name: ________________________________________________________________________ Firm Name: ___________________________________________________________________ Address: ______________________________________________________________________ ______________________________________________________________________________ Telephone #: ______________________________ FAX #: ____________________________ E-Mail Address for Service: ______________________________________________________ (Attorney’s email for electronic service) Additional E-Mail Address: ______________________________________________________ (Secretary, paralegal, etc.) I, ______________________________________, certify that I have personally completed the required on-line Electronic Learning Modules located on the website for the U. S. Bankruptcy Court, Eastern District of Louisiana. Date of training: _________________________________. OR I, ______________________________________, certify that I have completed CM/ECF training in another federal court. Date and location of training: __________________________ _____________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com (YES/NO) ___________ I request that the bankruptcy court give me access to the internet credit card payment process of CM/ECF known as “Pay.gov”. I will use Pay.gov for all fee-related filings. I must maintain a valid VISA, MasterCard, Discover, Diners Club, or American Express card to pay for the fee. I have read, understand, and agree to the following: 1. I will use the Electronic Case Filing System for cases filed in the United States Bankruptcy Court for the Eastern District of Louisiana. 2. Each use of my password for filing documents will meet the requirements of Rule 9011 of the Federal Rules of Bankruptcy Procedure. I understand that the use of my password constitutes my signature on the document being submitted. If I submit a document for another party, I understand it is my responsibility to maintain a copy of that document bearing the signer’s signature in my records. 3. Inasmuch as the combination of my identification with my password constitutes my signature, I agree to protect and secure the confidentiality of my password. Therefore, if I have reason to believe that my password has been compromised, it is my responsibility to immediately notify the court in writing. It is also my responsibility to immediately inform the court of any change in my firm affiliation, address, telephone, fax or E-Mail address. 4. I understand that the issuance of a password to me constitutes a waiver of conventional service under the court’s rules. I agree to accept a Notice of Electronic Filing by hand, facsimile, first class mail or authorized E-Mail in lieu of conventional service. I will use the automatic E-Mail notification feature of the Electronic Case Filing System wherever feasible. 5. In cases where service of documents filed electronically is insufficient through the court’s electronic filing system, full compliance with the Federal Rules of Bankruptcy Procedure, including Rules 2002(j), 7004(b), and 9016(b) is required. Date: _______________________ Please return to: ____________________________________ Attorney Applicant Signature Systems Department Attn: ECF Attorney Registration United States Bankruptcy Court 500 Poydras Street, Suite B-601 New Orleans, Louisiana 70130 REVISED: April 2009 American LegalNet, Inc. www.FormsWorkFlow.com