Duplicate Admission Certificate Request
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Duplicate Admission Certificate Request Form. This is a Official Federal Forms form and can be use in 4th Circuit Court Of Appeals Circuit Court Of Appeals.
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UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT 1100 East Main Street, Suite 501 Richmond, Virginia 23219-3517 (804) 916-2700 www.ca4.uscourts.gov DUPLICATE ADMISSION CERTIFICATE REQUEST A Duplicate Admission Certificate may be requested by mailing the completed form and a check made payable to "Clerk, U.S. Court of Appeals" to the Clerk, U.S. Court of Appeals for the Fourth Circuit, 1100 East Main Street, Suite 501, Richmond, Virginia, 23219. The completed form and payment may also be submitted using the CM/ECF system. To pay fees by credit card, users must register for a Fourth Circuit CM/ECF account. See Pay Fees by Credit Card for more details. Fee amount: $19.00 Attorney Name: ___________________________________________ Admission Date (if known): __________________________________ The certificate should be sent to: Name: Firm: Street/PO Box: City: State: Zip Code: Contact Phone Number: ____________________________ 12/01/2016 DLG American LegalNet, Inc. www.FormsWorkFlow.com
