UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF OHIO CERTIFICATE OF APPLICANT & WAIVER OF ATTENDANCE AT A NORTHERN DISTRICT OF OHIO FEDERAL DISTRICT COURT PRACTICE SEMINAR pursuant to LR 83.5(m) and LCrR 57.5(m) ____________________________________________ Attorney Applicant _______________________________________________________________________________________ Address Attorney applicant shall be granted a waiver of attendance at a Northern District of Ohio Federal District Court Practice Seminar after documentation is provided by said attorney that he/she has taken a Federal District Court Practice Seminar. Attorney applicant hereby certifies that he/she is familiar with the principles of the Civil Justice Reform Act of 1990, case management planning, the Federal Rules of Civil Procedures, the local rules of the Northern District of Ohio, in their entirety, with specific attention to Section 16.4, et seq. Alternative Dispute Resolution (ADR) and Section 16.1, et seq. Differentiated Case Management (DCM), the latter of which includes the concepts of track assignment and case management conferences. ___________________________ Date __________________________________ Signature *************************************************************************************** ____________________________________ Attorney Applicant Attorney applicant is hereby granted a waiver from the requirement of Local Civil Rule 83.5(d) and Local Criminal Rule 57.5(d) which requires “evidence of attendance at a federal district court seminar” prior to admittance. This waiver is granted after documentation was provided by said attorney that he/she has taken a federal district court practice seminar, in accordance with Local Civil Rule 83.5(m) and Local Criminal Rule 57.5(m). GERI M. SMITH, CLERK __________________________ Date By: _____________________________________ Deputy Clerk Page 7 Revised 08/10/09 American LegalNet, Inc. www.FormsWorkFlow.com