APPENDIX OF FORMS FORM 1 ADMISSION INSTRUCTIONS The accompanying form shall be used in applying for admission to the bar of this court pursuant to RCFC 83.1. This form should be duly executed and returned to the clerk of the court along with the following items: (1) a certificate issued within the last 30 days by the clerk of the highest court of any U.S. state, territory, or possession, or the District of Columbia, attesting to your admission to the bar of that court and your good standing therein (Note: a letter from the bar of your state is NOT acceptable); (2) two letters or signed statements from attorneys stating the following: a. they are members of the bar of this court, or the bar of the Supreme Court of the United States; b. they are not related to you; c. you are personally known to them; d. you possess all of the qualifications required for admission here; e. they have examined your application; and f. they affirm that your personal and professional character and standing are good; (3) a check, made payable to “Clerk, United States Court of Federal Claims,” in the amount of $250.00 to cover the required fee. Applications (including letters and fee) must be complete when submitted; incomplete applications will be returned. Admission under this procedure does not require your appearance in person. A certificate will be forwarded to you upon the granting of your application. American LegalNet, Inc. www.FormsWorkFlow.com IN THE MATTER OF THE PETITION OF _____________________________________________ (Please print/type your full name on the above line) FOR ADMISSION TO PRACTICE IN THE UNITED STATES COURT OF FEDERAL CLAIMS TO THE CHIEF JUDGE AND JUDGES OF THE UNITED STATES COURT OF FEDERAL CLAIMS: The petitioner,__________________________________________, respectfully shows this court: That he/she is a resident of the city of_______________________, the state of_________________, and that petitioner on the date of_______________________was duly licensed and admitted to practice as an attorney at law in the _______________________________________(highest state court), and is now a member of the bar thereof and in good standing. WHEREFORE, said petitioner herein prays that he/she may be admitted to practice in the United States Court of Federal Claims in accordance with the laws and rules applicable thereto. I, ____________________________________________________________ DO SOLEMNLY SWEAR (OR AFFIRM) THAT I WILL SUPPORT THE CONSTITUTION OF THE UNITED STATES AND THAT I WILL CONDUCT MYSELF IN AN UPRIGHT MANNER AS AN ATTORNEY OF THIS COURT. I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct. Executed on (date) ______________________________. (28 U.S.C. §1746) ______________________________________ Signature Address (including firm if applicable): ___________________________________________ ___________________________________________ ___________________________________________ ___________________________________________ Phone: ___________________________ Fax: _______________________ E-mail address: _________________________________ -------------------------------------------------------------------------------------------------------------------------------------- Attorney Pro Bono Appointment Registration Form for Pro Se Cases: 9 I am willing to be appointed counsel for pro se plaintiffs on a pro bono basis. As amended through July 2, 2012 American LegalNet, Inc. www.FormsWorkFlow.com