UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ------------------------------------------------------------x ADMISSION TO PRACTICE PRO HAC VICE -----------------------------------------------------------x SAMPLE _____ CV _______ ( ) The motion for admission to practice pro hac vice in the above captioned m atter is granted. The admitted attorney _______________________ is perm itted to ar gue or t ry this particular case in whole or in part as counsel or advocate for plaintiff/defendant_____________________________. This Order becomes effective upon the Court's receipt of the required $150.00 fee and confirms your appearance as counsel in this case. A notation of your adm ission pro hac vice in the above listed case will be made on the roll of attorneys. Dated: United States District Judge cc: Pro Hac Vice Attorney Court File SAMPLE American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ------------------------------------------------------------x ADMISSION TO PRACTICE PRO HAC VICE _____ CV _______ ( -----------------------------------------------------------x The motion for admission to practice pro hac vice in the above captioned matter is granted. The admitted attorney _______________________ is permitted to argue or try this particular case in whole or in part as counsel or advocate for [select one] _________________________________. This Order becomes effective upon the Court's receipt of the required $150.00 fee and confirms your appearance as counsel in this case. A notation of your admission pro hac vice in the above listed case will be made on the roll of attorneys. ) Dated: United States District Judge cc: Pro Hac Vice Attorney Court File American LegalNet, Inc. www.FormsWorkFlow.com