UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF NEW YORK CASE MANAGEMENT/ELECTRONIC CASE FILES SYSTEM (CM/ECF) OBUDSMAN REGISTRATION FORM CREDITOR/LIMITED REGISTRATION FORM FORM OMBUDSMAN FILING REGISTRATION LIVE SYSTEM This form is to be used to register for LIMITED FILING PRIVILEGES for filing documents electronically using the Case Management/Electronic Case Files System [CM/ECF] in the U.S. Bankruptcy Court for the Western District of New York. (NOTE: A PACER account is necessary for access to files and documents. You may register for a PACER account either online at http://pacer.psc.uscourts.gov or by calling 1-800-676-6856). First/Middle/Last Name: Company/Firm Name Mailing Address: Voice Phone Number: Fax Phone Number: Internet E-MAIL Address: Send Notices to these additional E-MAIL Addresses: Send Electronic Notice (check one)  Each Filing  End of Day Summary Send Electronic Notice in the following format (check one):  HTML for Netscape, ISP mail service, i.e., AOL, Hotmail, Yahoo, etc.  Text for cc:Mail, Groupwise, Outlook, Outlook Express, other (please list) Return my login and password by: E-Mail to the following address: ____ by Email to the following address: _______________________________  First-Class Mail with envelope marked 'confidential' Pick-up at Public Counter in 9 Buffalo 9 Rochester. ____ First Class Mail with envelope marked "confidential" ____ Pick-up at Public Counter in ___ Buffalo ___ Rochester American LegalNet, Inc. www.FormsWorkflow.com By submitting this registration form the applicant agrees to adhere to the following: 1. This access is for use only in ECF cases filed in the U.S. Bankruptcy Court for the Western District of New York. It may be used to file and view electronic documents, docket sheets, and reports. NOTE: A PACER account is necessary for this access and the registration information is referenced above. 2. The FRBP 9011 requires that every pleading, motion, and other paper (except lists, schedules, statements, or amendments thereto) filed with Court be signed by at least one attorney of record or, if the party is not represented by an attorney, by the party. The unique password issued to a participant identifies that participant to the Court each time he or she logs onto the System. The use of a participant’s password constitutes the signature of the purposes of FBRP 9011 on any document or pleading filed electronically using that participant’s password. Therefore, a participant must protect and secure the password issued by the Court. If there is any reason to suspect the password has been compromised, it is the duty of the participant to immediately change his or her password through the “Utilities” menu in the system. After doing so, the participant should contact the ECF Help Desk to report the suspected password compromise. 3. Registration will constitute a request and an agreement to receive service of pleadings and other papers electronically pursuant to FRBP 9036, where service of pleadings and other papers is otherwise permitted by first class mail, postage prepaid. 4. I understand that by submitting an application for a password I agree to adhere to all of the rules and regulations in the WDNY Administrative Orders for Filing, Signing, and Verifying Pleadings and Papers by Electronic Means currently in effect, and any changes or additions that may be made to such Administrative Orders. The Court may periodically post announcements and updates to the Court’s website that are pertinent to CM/ECF practice. 5. I assume all responsibility and liability for the payment of all applicable filing fees due at the time the document is electronically filed. 6. I understand that prior to electronically filing any document with the Court, I must obtain the original signature of the party or parties I represent on a paper copy of the document and that I must retain the original of that signed document for the length of time set forth in the “Administrative Procedures.” 7. For individual debtor cases filed electronically on or after December 1, 2003, I understand that prior to the electronic filing of a petition, I must obtain the original signature(s) of the debtor(s) I represent on a paper copy of the Statement of Social Security Number(s), (Official Form B21), and that I must retain the original of that signed document for the length of time set forth in the “Administrative Procedures.” I also understand I must compare the social security number(s) provided by the debtor(s) on Official Form B21 to the numbers entered into the Court’s CM/ECF System to ensure they are the same. 8. I understand that should I enter into a Trading Partner Agreement to receive notices via Electronic Bankruptcy Noticing by EDI or fax in addition to e-mail service through the Court’s CM/ECF System, that I must notify the Court in writing. Failure to advise the Court will result in my receipt of notice through the Court’s CM/ECF System only. 9. My signature below constitutes my affirmation that I am an attorney holding a current and valid license to practice law. Applicant’s Signature Date Last four Digits of Social Security Number (for security purposes) Privacy Disclaimer: The information contained within this application will not be sold or otherwise distributed by this office to outside sources. Please return this form to form to: Please return this completedthe New York Western Office at: U.S. Bankruptcy Court Olympic Towers [Rev. December 2004] 300 Pearl Street, Suite 250 Buffalo, NY 14202 -OR- U.S. Bankruptcy Court Attn: Clerk of Court Olympic Towers Court U.S. Bankruptcy 300 Pearl Street, Suite 250 100 State Street Buffalo, NY 14202 Rochester, NY 14614 American LegalNet, Inc. www.FormsWorkflow.com