,16758&7,216 (OHFWURQLF )LOLQJ ([HPSWLRQ )RUP United States Court of Appeals for Veterans Claims 625 Indiana Ave., NW Suite 900 Washington, DC 20004 202-418-HELP (3453) Attn: Clerk of the Court efiling@uscourts.cavc.gov &0(&) (OHFWURQLF )LOLQJ ([HPSWLRQ )RUP This form is used to file for an exe ption from the mandatory electronic filing requirement per Miscellaneous Order 08-08, dated October 3, 2008. The form must be and then submitted via postal mail to the above address o the attention of the Clerk of the Court. All form fields are mandatory and must include the applicant's signature. The ourt ill return all forms that have not been signed. The applicant can submit additional documents with this form to support their request for exe ption. American LegalNet, Inc. www.FormsWorkFlow.com United States Court of Appeals for Veterans Claims 625 Indiana Ave., NW Suite 900 Washington, DC 20004 202-418-HELP (3453) Attn: Clerk of the Court efiling@uscourts.cavc.gov &0(&) (OHFWURQLF )LOLQJ (;(037,21 )250 This form is used to apply for exe ption from the Court's electronic filing system that is mandatory for all represented parties unless granted an exe ption per the U S Court of Appeals for Veterans Claims Miscellaneous Order No. 08-08, dated October 3, 2008. The following information is mandatory: Full Name: (First, Middle, Last) Telephone Number: Fax Number: Email Address: Firm Name: (if applicable) Current Mailing Address: (include Suite #, City, State & Zip) I am counsel of record for the following party: or the following appeal case numbers: I hereby request an exe ption from the Court's mandatory requirement for electronic filing for all represented parties. The basis for my request is (if additional space is required for documentation, please attach to this form): Please print, sign and return this (provided above). form to the Court's Mailing Address $SSOLFDQW V 6LJQDWXUH 'DWH 6LJQHG )RUP ( 5HY American LegalNet, Inc. www.FormsWorkFlow.com