APPENDIX A UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF LOUISIANA APPLICATION FOR USE OF ELECTRONIC CASE FILING SYSTEM ‘ Original ‘ Amended NAME: (Logins are only provided to individuals, they cannot be provided to business entities.) “ ATTORNEY “ PRO HAC VICE “ TRUSTEE “ CREDITOR ADDRESS: CITY, STATE AND ZIP: ______________________________________________________ PHONE #: FAX #: E-MAIL ADDRESS: ******All items above this line must be completed in full to process this application. ***** BAR ID #: STATE OF PRO HAC VICE Case(s) (Party Represented) Training is required before access is permitted to the Electronic Case Filing System. Please select one of the following offices in which you received training. If it is in another District or Bankruptcy Court, please provide that court’s information below:  Shreveport  Alexandria  Lafayette  Lake Charles  Online CBT  Other Court If you are already a certified ECF filer in another district, please provide the following: District/State: __________________________________________________________________ Type the name of the district in which you are ECF certified. Please enclose a copy of your ECF Training Completion Certificate, if available, name of person who provided training, or other documentation confirming completion of ECF training. This application should be mailed to: U.S. Bankruptcy Court, Attention: Automation Department, 300 Fannin Street, Suite 2201, Shreveport, LA 71101. If appropriate, a login and password will be issued to the applicant in due course. For all questions regarding this or other ECF matters, please call Automation at (318) 676-4267. American LegalNet, Inc. www.FormsWorkFlow.com 1. Pro Hac Vice Application: I affirm that I am admitted to practice in the United States Courts for the District of (applicable state) and the information set forth above is true and correct. (Required information if Pro Hac Vice was selected on page 1.) 2. Claims or Other Limited Use Application: I affirm that I am authorized to prepare and file Proofs of Claim, Application(s) To Withdraw Unclaimed Funds, Notice(s) of Appearance, Assignment of Claim(s), Transfer of Claim(s), and/or am authorized to execute and submit Reaffirmation . Agreement(s) on behalf of (attach separate sheet if necessary) (Required information if Creditor was selected on page 1.) 3. I understand that use of my password to file a document in a bankruptcy case or proceeding will constitute my signature upon the document and my signing of any proofs of claim or other papers or documents filed by use of the password obtained pursuant to this Application. 4. I understand that it is my responsibility to maintain in my records all documents bearing my original signature that are filed using my password, and all documents bearing the original signature of any signer on whose behalf I file the documents using my password, for a period of five (5) years after the case or proceeding in which the papers are filed has been closed. 5. I understand that it is my responsibility to protect and secure the confidentiality of my password. If I believe that my password has been compromised, it is my responsibility to notify the court in writing, immediately. 6. I understand that it is my responsibility to notify the court immediately of any change in my address, telephone number, fax number, or e-mail address. This information is required in writing, on letterhead, with signature of the party that the account login is issued to. 7. I understand that registration as a Filing User constitutes: (1) waiver of the right to receive notice by first class mail and consent to receive notice electronically; and (2) waiver of the right to service by personal service or first class mail and consent to electronic service, except with regard to service of a summons and complaint under Fed.R.Bankr.P. 7004. Waiver of service and notice by first class mail applies to notice of the entry of a order or judgment under Fed.R.Bankr.P. 9022. 8. At this time, the requirements for filing, viewing and retrieving case documents are: ® A personal computer with a standard operating system (i.e., Windows 95 or higher or Macintosh) ® Internet access* ® Internet Explorer or Mozilla Firefox (Netscape Navigator is NO LONGER SUPPORTED) ® Adobe Acrobat and Exchange software ** ® Windows or Macintosh based petition and word processing software ® A scanner for documents which are not in your word processor or petition software *** American LegalNet, Inc. www.FormsWorkFlow.com Notes: * High speed Internet access is recommended, but NOT required. (i.e., cable modems, DSL, etc.) ** Adobe Acrobat is needed. Be sure not to confuse Adobe Acrobat with Adobe Acrobat Reader. You will need to view AND create .pdf files. The Reader version of Acrobat will not allow you to create .pdf files, only to read and view them. You can find descriptions of the procedures at http: www.adobe.com *** Orders submitted to the court via E-Orders upload should not be scanned images. Orders should be printed or published to PDF using word processor software. DO NOT use (AOL) American Online’s version of Netscape Navigator, or a version of Navigator lower than 3.0. I agree to adhere to court procedures for the Electronic Case Filing System. I understand that it is my responsibility to learn and use any and all updates to the Electronic Case Filing System procedures. Applicant Signature Date Applicant Name Please return ORIGINAL to: United States Bankruptcy Court ATTN: AUTOMATION 300 Fannin Street, Suite 2201 Shreveport, LA 71101 PLEASE DO NOT WRITE BELOW THIS LINE FOR OFFICIAL COURT USE ONLY ____________________________________________________________________________________ DATE OF ECF TRAINING: ___________________ DATE COMPLETED: ____________________ ENTERED INTO DATABASE BY: __________________________________DATE:_____________ LOGIN:__________________ EMAIL SENT: _______ EMAIL REMOVED: _________BY:______ ADMITTED TO PRACTICE: ____________ PRO HAC VICE ORDER________________ DATE ACCOUNT DISABLED: _____________________ BY: _______________________________ American LegalNet, Inc. www.FormsWorkFlow.com