Request for Attorney Address Change Please complete and return to address noted below. If you have accessed this form from our web site, you must print it out before completing. Name: Old Address: New Address: Effective Date: Any special instructions or circumstances: You must indicate below, by District Court case number, which of your cases should stay at your prior address and which should go with you to your new address. If you do not give us instructions for all your cases, pending or terminated, we will not be able to process your address change timely. (Attach separate sheet if necessary.) _________________________________ (Signature) ___________________ (Date) Return To: United States District Court, Western District of New York Operations Section 2 Niagara Square Buffalo, NY 14202 American LegalNet, Inc. www.FormsWorkFlow.com