U.S. District Court (Rev. 05 /2019 ) - Attorney Reactivation UNITED STATES DISTRICT COURT FOR THE DISTRICT OF MARYLAND ATTORNEY REQUEST FOR REACTIVATION ** Unless otherwise noted, a ll questions and fields must be completed or your application will be rejected.** THIS FORM IS ONLY AVAILABLE FOR INACTIVE MEMBERS OF THE BAR. B AR N UMBER : N AME : N AME AT A DMISSION ( IF DIFFERENT ) F IRM /A GENCY N AME A DDRESS : P HONE : F AX : E - M AIL A DDRESS : A. BACKGROUND QUESTIONNAIRE If you answer yes to any of these questions and have not previously disclosed this information to this Court , you must submit a statement under the penalty of perjury stating the relevant facts, court, charge, date, whether the occurrence was disclosed to the highest court of the state(s) in which you are admitted, whether the occurrence was previously disclosed t o this Court, disposition, whether the occurrence was an isolated incident, and any other facts you deem relevant. The Court may confirm the accuracy of any submitted information by conferring with the appropriate court or bar authority, if applicable . If you have previously disclosed this information to this Court, please provide only the date of disclosure. 1. Are there any disciplinary proceedings pending against you? YES NO If previously disclosed to this Court, date disclosed: 2a. Have you been denied admission to practice, disbarred, suspended from practice, or disciplined by any court or bar authority , other than administrative suspensions for non - payment of bar dues ? YES (answer 2b) NO (skip to 3) If previously disclosed to this Court, date disclosed: 2b. I f you have been suspended or disbarred from the practice of law by any court or bar authority, have you been reinstated? YES NO N/A If previously disclosed to this Court, date disclosed: 3. H ave you ever resigned from the practice of law in any court in order to avoid disciplinary action or while the subject of any pending investigation, action, or proceeding involving allegations of misconduct or the commission of a crime ? YES NO If previously disclosed to this Court, date disclosed: 4 . Excluding traffic violations punishable by fine only, have you ever been convicted of, or entered a plea of no contest to, any crime or are any criminal charges pending against you? YES NO If previously disclosed to this Court, date disclosed : 5. H ave you eve r been held in contempt of court? YES NO If previously disclosed to this Court, date disclosed: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 B . 1. Are you currently an inactive member of the bar of the U.S. District Court for the District of Maryland? YES ( go on to 2 ) NO ( STOP COMPLETING THE FORM AND CONTACT ATTORNEY ADMISSIONS AT 410 - 962 - 3293 ) 2. Are you an active member , in good standing , of the Maryland Bar? YES ( skip to certification item 4 ) NO (complete certification item 3 ) 3 . Complete if question 2 is No: I have been admitted to practice law in the following state (including the District of Columbia) and federal courts : S TATE OR F EDERAL C OURT D ATE OF A DMISSION S TATE OR F EDERAL C OURT D ATE OF A DMISSION 4 . Unless otherwise indicated in Section A, I am a member in good standing of the bars of each of the above listed jurisdictions. 5 . I am familiar with the Maryland Rules of Professional Conduct, the Federal Rules of Civil Procedure, the Federal Rules of Evidence, the Federal Rules of Appellate Procedure, the Local Rules of the United States District Cou rt for the District of Maryland, and (to the extent relevant to my area(s) of practice) the Federal Rules of Criminal Procedure, the Federal Rules of Bankruptcy Procedure, and the Local Bankruptcy Rules. 6 . Except when employed by a government agency that precludes accepting a pro bono appointment, I am willing to accept court appointments to represent indigent parties in civil cases in this district. 7 . My principal law office is located in (city, state) . and l ocated in the United States District Court for the . 8 . I have reviewed the l ocal r ules of each U.S. District Court of which I am a member and I have determined that membership in the bars of those districts do es not disqualify me from membership in the bar of this Court pursuant to the re ciprocity provision of Local Rule 701.1.c. 9 . I understand that it is my responsibility to promptly update my contact information in CM/ECF or to notify Attorney Admissions of any change in my name or address. I further understand that my failure to promptly update my contact information may affect my ability to practice in this Court . See Local Rule 701 .3. 10 . I understand that I will be required to renew my membership in the bar of this Court periodically. Please return your completed form and the $15 0 reactivation fee (payable to Clerk, U.S. District Court) to U.S. District Court for the District of Maryland Attn: Membership Reactivation 101 W. Lombard Street Baltimore, MD 21201 I declare under penalty of perjury und er the laws of the United States of America that the foregoing is true and correct. Signature: Date: American LegalNet, Inc. www.FormsWorkFlow.com