CJA Attorney Registration Form
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CJA Attorney Registration Form. This is a Massachusetts form and can be use in District Court Federal.
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Tags: CJA Attorney Registration Form, Massachusetts Federal, District Court
UNITED STATES DISTRICT COURT
DISTRICT OF MASSACHUSETTS
CJA ATTORNEY REGISTRATION FORM
NAME:
SOCIAL SECURITY NUMBER:
(Required for attorneys)
MAILING ADDRESS:
CONTACT INFORMATION FOR ATTORNEY APPOINTMENTS:
TELEPHONE:
CELL PHONE:
ALTERNATE CONTACT:
ALTERNATE CONTACT PHONE NO.:
EMAIL:
INDICATE HOW PAYMENTS SHOULD BE REPORTED TO THE IRS:
”
Under my social security number and name, as indicated above.
OR
”
To the law firm or company with which I am affiliated. The law firms’s taxpayer identification
number, name and address are:
Taxpayer identification number:
Firm/Company Name:
Firm/Company Address:
Attorney Signature:
Date:
Please return the registration form to:
United States District Court
Clerk’s Office - Suite 2300
Moakley United States Courthouse
1 Courthouse Way
Boston, MA 02210
ATTN: Finance Department
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