UNITED STATES COURT OF APPEALS FOR THE FIRST CIRCUIT ____________________ APPEARANCE FORM (Please type or print all answers) Case No.: Case Name (short): FAILURE TO FILL OUT COMPLETELY MAY RESULT IN THE REJECTION OF THIS FORM AND COULD AFFECT THE PROGRESS OF THE APPEAL THE CLERK WILL ENTER MY APPEARANCE AS COUNSEL ON BEHALF OF: __________________________________________________________________ as the (Specify name of person or entity represented.) If you represent a litigant who was a party below, but who is not a party on appeal, do not designate yourself as counsel for the appellant or the appellee. [ ] appellant(s) [ ] appellee(s) [ ] amicus curiae [ ] petitioner(s) [ ] respondent(s) [ ] intervenor(s) [ ] not a party on appeal ______________________________ (Signature) Name & Address: ____________________________________ ____________________________________ ____________________________________ ____________________________________ Telephone:__________________ Court of Appeals Bar Number:_________ Fax: _______________________ E-Mail: _____________________________ Has this case or any related case previously been on appeal? Yes __________ Court of Appeals No. __________________ No __________ American LegalNet, Inc. www.FormsWorkflow.com [ ] IF YOU WILL NOT BE PARTICIPATING IN THIS CASE, PLEASE CHECK HERE AND RETURN, AND GIVE US THE NAME AND ADDRESS OF ANOTHER ATTORNEY, IF ANY, WHO WILL PROVIDE APPELLATE REPRESENTATION. ________________________________________________________________________ ________________________________________________________________________ NOTE: Must be signed by an Attorney admitted to practice before the United States Court of Appeals for the First Circuit pursuant to 1st Cir. R. 46.0(a)(2). If you are applying for admission, please return this appearance form with your application for admission, including the admission fee. If your name has changed since you were admitted to the First Circuit Bar PLEASE show the name under which you were admitted. COUNSEL MUST COMPLETE & RETURN THIS APPEARANCE FORM IN ORDER TO FILE PLEADINGS IN THIS COURT American LegalNet, Inc. www.FormsWorkflow.com