United States District Court for the Western District of Tennessee ECF ATTORNEY REGISTRATION FORM This form is used to register for an account on the Western District of Tennessee Electronic Filing System. Registered attorneys will be allowed to electronically submit documents in the Western District of Tennessee Electronic Case Filing (ECF). By registering, attorneys consent to receiving electronic notice of filings through the ECF System. ***PLEASE NOTE THAT ELECTRONIC FILING AND NOTICING IS MANDATORY AS OF JANUARY 1, 2006 *** Please PRINT the following information to register for ECF: Last Name: __________________________________First Name_______________________Middle Initial:_________ If appropriate select one: Senior Junior II III Other ___________________________ Firm Name:______________________________________________________________________________ Address:_________________________________________________________________________________ City, State ______________________________________________________Zip Code: _______________________ Telephone: (______)________________________ Fax Number (_____)___________________________________ E-mail Address for Electronic Service:_______________________________________________________________ [If an attorney desires that ECF notices be sent to additional parties, this can be effectuated at a later date.] Last Four Digits of Social Security Number: _________ (for security purposes) Attorneys seeking to file documents electronically must be admitted to practice in the United States District Court for the Western District of Tennessee pursuant to Local Rule 83.1(a). State Bar Number:_____________________ Are you currently in good standing? Yes No If admitted pro hac vice: Date Motion Granted:______________ Case Number _________________ LOGIN: ____________________________________ Your login name will be the last five digits of your state bar id and the initials of your first and last name. Example: 55555CG By submitting this registration form, the undersigned agrees to abide by all Court rules, orders and policies and procedures governing the use of the electronic filing system. The undersigned also consents to receiving notice of filings, except for original process, pursuant to Fed. R. Civ P 5(b) and 77(d) and Fed.R. Crim P. 49(b)-(d) via the Court’s electronic filing system. The combination of login and password will serve as the signature of the attorney filing the documents. Attorneys must protect the security of their passwords and immediately notify the court if they learn that their password has been compromised by an unauthorized user. __________________________________________________________________ Signature/Date Once your registration is complete, MAIL FORM TO: you will receive notification by email Venita Griffin FAX to: as to your login and password needed USDC – Clerk’s Office OR Venita Griffin to access the system. 167 N. Main – RM 242 (901) 495-1250 Memphis, TN 38103 Check court webpage for current rules, fees, administrative orders, etc. at www.tnwd.uscourts.gov American LegalNet, Inc. www.USCourtForms.com