U NITED S TATES D ISTRICT C OURT W ESTERN D ISTRICT OF T EXAS E-FILING AND E-NOTICING REGISTRATION FORM Requirements: Individuals seeking to file documents electronically must be (1) admitted to practice in the United States District Court for the W estern District of Texas and be a member in good standing with the Court pursuant to Local Court Rule AT-1, (2) admitted pro hac vice, (3) authorized to represent the United States of America, or (4) proceeding as a non-prisoner pro se litigant, with approval by the Court. Instructions: Complete this form to request an Electronic Case Filing (ECF) account from the United States District Court, W estern District of Texas. Complete the form on-line and print a hard copy, sign it, and mail the form to the address at the bottom of this form or present the form to any District Clerk’s Office in the W estern District of Texas. After verification, you will receive an e-mail confirming receipt of your application. Your login and password will be e-mailed to you at a later date. If your e-mail address changes, you must contact the court or you will be unable to e-file. An e-mail address is required in order to E-file and receive E-notices. NOTE: DO NOT use this form to submit an address change to the court. If your address has changed, you must contact the court directly per Local Court Rule AT-9. Please provide the court with up to two (2) courtesy e-mail addresses. These individuals will receive courtesy copies of the notices you receive. (Please type your full name, including generation; e.g., Sr., Jr., II, III, etc.) First Name: Middle Name: Last Name: Generation: _____________________________ _____________________ ________________________________ _________ E-Mail: ____________________________________________ Telephone: _________________________ Courtesy E-Mail #1: _______________________________________ Courtesy E-Mail #2: _____________________________________ Firm: ___________________________________________ Address: _____________________________________________________ City: _____________________________________ State: (i.e., TX) _______ Zip Code: ______________ Last 4 SSN: ________ Are you admitted to the bar of the W estern District of Texas and a member in good standing or an attorney otherwise authorized to represent the United States? Yes No Are you a non-prisoner pro se litigant? Yes No NOTE: Non-prisoner pro se litigants must motion the Court for approval to become an Electronic Filing User. The Order granting your motion must accompany this registration form in order for your registration to be processed. State Bar Card No.: ________________________________________ State: ______ If admitted pro hac vice, please complete. Date motion granted: ________________________ In case number: ___________________________ (mm/dd/yyyy) By submitting this form, I agree to abide by all Court rules, orders, policies and procedures governing the use of the electronic filing system. I also consent to service by electronic means in the circumstances permitted under those rules, orders, policies, and procedures. I further consent to allow the court to provide e-mail notifications on my behalf to all parties registered with the ECF System in lieu of providing certificate of service per Local Court Rule CV-5 and CR-49. I understand that the combination of user id and password will serve as the signature of the filing user filing the documents pursuant to Rule 11 of the Federal Rules of Civil Procedure, the Federal Rules of Criminal Procedure and the Local Rules of this court. Therefore as a filing user, I agree to protect the security of my password and immediately notify the Court if I suspect my password has been compromised. I already have an ECF login that I use at another Court, which is ___________________________. Please assign the same login, if possible. (Important Note: This login can not be your current PACER login.) ________________________________________________________________ Signature of Registrant ____________________________ Date American LegalNet, Inc. www.FormsWorkflow.com