WWW Account Request Form Court: Type of Access Requested District Court Bankruptcy Court G Attorney access G Court family or related agency G Pro Se Litigant Case No. ________________ G Public access G Attorney access G Court family or related agency G Pro Se Litigant Case No. ________________ G Public access First Name________________________________________ Middle Initial _____________________ Last Name________________________________________ Generation (Jr., Sr., etc.)_____________ Firm/Agency___________________________________________________________________ Address_______________________________________________________________________ City____________________________________ State _____________ Zip Code _______________ E-Mail Address ____________________________________________________________________ Phone Number ________________________________ Fax Number __________________________ I request access to the World Wide Web site of the United States Courts for the District of New Mexico. If I am requesting attorney access, I certify that I am admitted to practice in the United States District Court for the District of New Mexico and that I am in good standing. I understand that: 1. Access to the information at this site is a privilege and that it can be withdrawn for failure to comply with any requirements which may be established by the courts. 2. The establishment of an attorney level account does not obligate me to file papers electronically, nor does it obligate me to agree to receipt of service or notice by electronic means. 3. I may share my account information (log-in name and password) with any person I have authorized to access the website on my behalf. 4. Use of the log-in name and password required to submit documents electronically constitutes an attorney's signature for purposes of the Federal Rules of Procedure. I agree to: 1. Assure security of my password. 2. Abide by electronic filing guidelines issued by the United States District Court and the United States Bankruptcy Court, as appropriate. Signature:____________________________________ Date:______________________ Please return this completed form to: For Court Use Only: U.S. District Court, District of New Mexico, Clerk's Office USDC PRID: ______________________ 333 Lomas Blvd. N.W., Ste 270 USBC PRID: ______________________ Albuquerque, New Mexico 87102 User ID: __________________________ Attn: Acemaster Password: ________________________ Phone: 505-348-2000 Fax: 505-348-2028 American LegalNet, Inc. www.FormsWorkflow.com