UNITED STATES COURT OF APPEALS FOR THE TENTH CIRCUIT Entry of Appearance and Certificate of Interested Parties v. Case No. INSTRUCTIONS: COUNSEL FOR A PARTY MUST FORTHWITH EXECUTE AND FILE THIS FORM, INDICATING METHOD(S) OF SERVICE ON ALL OTHER PARTIES. MULTIPLE COUNSEL APPEARING FOR A PARTY OR PARTIES AND WHO SHARE THE SAME MAILING ADDRESS MAY ENTER THEIR APPEARANCES ON THE SAME FORM BY EACH SIGNING INDIVIDUALLY. In accordance with 10th Cir. R. 46.1, the undersigned attorney(s) hereby appear as counsel for ____________________________________________________________________________________ Party or Parties _________________________________________________________________________, in the subject case(s). Appellant/Petitioner or Appellee/Respondent Further, in accordance with 10th Cir. R. 46.1, the undersigned certify(ies) as follows: (Check one.) 9 9 On the reverse of this form is a completed certificate of interested parties and/or attorneys not otherwise disclosed, who are now or have been interested in this litigation or any related proceeding. Specifically, counsel should not include in the certificate any attorney or party identified immediately above. There are no such parties, or any such parties have heretofore been disclosed to the court. ______________________________________________ Name of Counsel ______________________________________________ Signature of Counsel _________________________________________ Name of Counsel ___________________________________________ Signature of Counsel ___________________________________________ Mailing Address and Telephone Number E-Mail Address ______________________________ ______________________________________________ Mailing Address and Telephone Number E-Mail Address _________________________________ I hereby certify that a copy of this Entry of Appearance and Certificate of Interested Parties was served on (please insert date) ____________________________ via (state method of service) ______________________. to __________________________________________ (See Fed. R. App. P. 25(b)) ______________________________________________ (Signature) A-5 Entry of Appearance Form 10/09 American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES COURT OF APPEALS FOR THE TENTH CIRCUIT v. Case No. Certificate of Interested Parties The following are not direct parties in this appeal but do have some interest in or a relationship with the litigation or the outcome of the litigation. See 10th Cir. R. 46.1(D). In addition, attorneys not entering an appearance in this court but who have appeared for any party in prior trial or administrative proceedings, or in related proceedings, are noted below. (Attach additional pages if necessary.) A-5 Entry of Appearance Form 10/09 American LegalNet, Inc. www.FormsWorkFlow.com