UNITED STATES DISTRICT COURT District of Minnesota Motion for Admission Pro Hac Vice of U.S. Government Attorney (filing fee waived) Effective October 5, 2015 226 In addition to filing this motion in ECF, the proposed admittee must also apply for 223Federal Attorney224 admission through his or her PACER account if he or she has not been previously admitted to the District of Minnesota. Case Number: Case Title: Under LR 83.5(e), an attorney who represents the United States or any of its officers or agencies and who is not a member of the court222s bar may appear pro hac vice in this court in one of two ways: (1) by being a member in good standing of the bar of a federal court of appeals or of a different federal district court; or (2) by associating with an attorney from the United States Attorney222s Office for the District of Minnesota. An attorney who chooses to associate with a local AUSA must, before filing this form, contact the Civil Chief of the United States Attorney222s Office for the District of Minnesota at 612-664-5600 to obtain local counsel. The U.S. Government Attorney seeking admission pro hac vice must complete Section A. That attorney222s supervisor must complete Section B. SECTION A - Affidavit of U.S. Government Attorney A ttorney222s Name: Attorney222s License Number: Issued by the State of: Party represented: Government agency employing attorney: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 Address: Phone Number: E - Mail Address: Check and complete either section 1 or section 2 below before signing: 1.Certification of membership in other federal court222s barI certify that I am not a member of this court222s bar, but I am currently an activemember in good standing of the bar of the following federal court of appeals orother federal district court. Federal court: 2.Certification of association with local AUSAI certify that I am associating with the following attorney from the UnitedStates Attorney222s Office for the District of Minnesota who will participate in thepreparation and presentation of the case and who will accept service on behalfof the United States of all papers. Associating attorney222s name: I further certify that: I understand the United States District Court for the District of Minnesota is anelectronic court;I service under Fed. R. Civ. P. 5(b) and 77(d) by electronicmeans; andI understand such electronic service will be lieu of service by mail. Date: Signat ure: American LegalNet, Inc. www.FormsWorkFlow.com SECTION B - Certification of Attorney222s Supervisor I, , hereby certify that the attorney identified above is employed as an attorney by the government agency identified above. Date: Signature: Printed Name: Title: Government agency: This form should be electronically filed in CM/ECF to the specific case in which the U.S. Government Attorney is seeking pro hac vice admission. If the attorney is unable to cause this form to be filed in CM/ECF, then this form may be emailed in PDF format to ecfhelpdesk@mnd.uscourts.gov for electronic filing in the case. PLEASE NOTE IN ADDITION to filing this motion in the specific case, the proposed admittee MUST also apply for 223Federal Attorney224 Admission to the District of Minnesota through his or her individual upgraded PACER ACCOUNT. This last step only needs to be completed the first time a U.S. Government Attorney is admitted Pro Hac Vice to the District of Minnesota. For detailed step by step instructions, click here. For questions, please email the elpdesk at ecfhelpdesk@mnd.uscourts.gov or contact an Attorney Admissions Clerk at 651-848-1100. Page 3 American LegalNet, Inc. www.FormsWorkFlow.com