UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS Instructions for Non-Attorney Admission to Practice Eligibility. Rule 46(b) of the Court's Rules of Practice and Procedure provides: A Non-attorney of good moral character and repute (1) Under the direct supervision of an attorney admitted to the bar of the Court, or (2) Employed by an organization which is chartered by congress, is recognized by the Secretary of Veterans Affairs for claims representation, and provides a statement signed by the organization's chief executive officer certifying to the employee's: (A) understanding of the procedures and jurisdiction of the Court and of the nature, scope and standards of its judicial review; and (B) proficiency to represent appellants before the Court may be admitted to practice before the Court upon filing with the Clerk a completed application accompanied by the prescribed fee (payable by check or money order). In making the certification in subparagraph (2), the chief executive officer should be aware that knowledge of and competence in veterans law and the administrative claims process does not in and of itself connote competence in appellate practice and procedure. Application. Enclosed is an application for admission. It requires a certificate from the chief executive officer of your employing veterans service organization or, if you are not so employed, a motion from your supervising attorney. If you are admitted under Rule (46)(b)(1), your supervising attorney must countersign all papers you file and must participate at all Court-directed conferences and oral arguments. Restrictions on practice. If you are an officer or employee of the U. S. Government, or if you are a former federal officer or employee whose service involved matters relating to veterans affairs, 18 U.S.C. § 205 or § 207 may prohibit you from representing an appellant or petitioner before this Court. These laws will not prevent your admission to practice, but if you think they may apply to you, you should contact the Designated Agency Ethics Official or an ethics counselor at your current or former agency, or the Office of Government Ethics, for advice before you agree to represent someone. Practitioner lists. The Court maintains two practitioner lists. a. an internal list of all persons admitted to practice. We use this list to verify your status when you enter an appearance in a case, to tell you about judicial conferences and other significant Court matters and to provide certificates of good standing at your request. b. a public list of practitioners who have said that they are available to represent appellants. We send this state-by-state alphabetical list with our notice of docketing to each unrepresented person who files a notice of appeal, and we post the list on our internet website. We will include your name, address, telephone number, and e-mail address only if you request. You may receive inquiries from appellants about representation and from persons who want to sell books, conduct education programs, or organize bar activities. Info 46B (08/11) American LegalNet, Inc. www.FormsWorkflow.com APPLICATION OF NON-ATTORNEY PRACTITIONER TO PRACTICE BEFORE THE UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS 1. Name: (Mr.)(Ms.)_____________________________________________________ Date of Birth:_____________________________ 2. Business Mailing Address:___________________________________________________________ ___________________________________________________________ ___________________________________________________________ 3. Telephone Numbers: (Office)________________________(Home or Cell)_________________________ FAX Number___________________________ E-mail Address:_________________________________________ 4. Education: Beginning with the most recent, list below all the requested data relating to the high schools, colleges, and universities you have attended. Mark "ND" if you did not receive a degree. FROM TO SCHOOL CITY STATE [MO/YR] [MO/YR] DEGREE ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 5. Have you ever been convicted of a serious crime (a "serious crime" includes any felony or any lesser crime an element of which involves moral turpitude, interference with the administration of justice, false swearing, misrepresentation, fraud, willful failure to file tax returns, deceit, bribery, extortion, misappropriation, theft, or the attempt or a conspiracy or solicitation to commit such a crime)? ________ If yes, explain in full (including dates, name of court, city and state) on a continuation sheet. FORM 46B (08/11) Page 1 American LegalNet, Inc. www.FormsWorkflow.com 6. Are you a U.S. citizen or legally-admitted alien?___________ 7. Work experience (including self-employment): A. Name and address of present or last employer: _______________________________________________________________________________ _________________________________________________________________________________ ______________________________________________________________________________ Dates (mo/yr) of employment: From__________________to_____________ B. Attach a description of any duties, training responsibilities, accomplishments, and experience in your current or past employment that relate to your ability to represent appellants before the Court. 8. Have you ever been denied or had revoked or suspended (a) a business, trade, or professional license which required proof of good moral character or (b) the right to appear before a court, department, bureau, commission, office, or agency?_____________Has any such entity ever imposed public discipline against you, or is such action pending?______________If either answer is yes, explain in full (including dates and the name and address of the authority in possession of the records) on continuation sheet. 9. Do you want to be admitted to the bar of this Court in open Court? ______ (If "Yes" the Clerk of the Court will contact you with the date and time of the admission ceremony.) 10. Do you want your name, address, and office telephone number included in the Court's public list of practitioners who have indicated their availability to represent appellants? _____________ OATH (AFFIRMATION) I,_________________________________, solemnly swear (or affirm) that I will conduct myself as an non-attorney practitioner and officer of this Court, uprightly and according to law; and that I will support the Constitution of the United States. I certify under penalty of perjury that the foregoing is true and correct. (28 U.S.C.§ 1746) ________________________________________ (Signature of Applicant) Date____________________________________ FORM 46B (08/11) Page 2 American LegalNet, Inc. www.FormsWorkflow.com NOTE: COMPLETE ONLY ONE OF THE FOLLOWING BOXES ** For application not employed by a Rule 46(b)(2) organization ** MOTION OF SUPERVISING ATTORNEY I,_____________________________________, a member of the bar of this Court, move to admit the applicant to practice before the Court under my direct supervision, pursuant to Rule 46(b)(1) and (d). I am satisfied that the applicant is of good moral character and repute. I understand that my direct supervision of the applicant includes countersigning all papers filed with the Court and participating in Court-directed conferences and oral arguments. SIGNATURE________________________________________PHONE: (_______)______________________ ADDRESS________________________________________________________________________________ **For applicant employed by a Rule 46(b)(2) organization ** CERTIFICATION OF CHIEF EXECUTIVE OFFICER I,_________________________________________________,am the Chief Executive Officer of __________________________________________________, which is chartered by Congress and recognized by the Secretary of Veterans Affairs for claims representation. I am satisfied that the applicant is of good moral character and repute. I certify that the applicant understands the jurisdiction of the court and the nature, scope and standards of its judicial review, and possesses the necessary proficiency to represent appellants before the Court. I certify under penalty of perjury that the foregoing is true and correct. (28 U.S.C. § 1746) SIGNATURE:___________________________ DATE:_________________________________ MOTION I,____________________________,a member of the bar of this Court, move for admission of the above named non-attorney practitioner to practice before this court. SIGNATURE___________________________ FORM 46B (08/11) Page 3 American LegalNet, Inc. www.FormsWorkflow.com FEE: A practice fee of $100.00 must accompany your application. Send To: Admissions Clerk U.S. Court of Appeals for Veterans Claims 625 Indiana Avenue, NW, Suite 900 Washington, DC 20004 Make Check Payable to: U.S. Court of Appeals for Veterans Claims *FOR COURT USE ONLY* Fee Paid [ ] Date: _____________________ Admitted [ ] \ Not Admitted [ ] _______________________ Clerk of the Court Date:__________________________ FORM 46B (08/11) Page 4 American LegalNet, Inc. www.FormsWorkflow.com