UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TEXAS vs. Case No.: MOTION FOR ADMISSION PRO HAC VICE TO THE HONORABLE JUDGE OF SAID COURT: Comes now , applicant herein, and moves this Court to grant admission to the United States District Court for the Western District of Texas pro hac vice to represent would respectfully show the Court as follows: in this case, and 1. Applicant is an attorney and a member of the law firm (or practices under the name of) with offices at: Mailing address: City, State, Zip Code: Telephone: Facsimile: , Applicant has been and presently is a . . 2. Since member of and in good standing with the Bar of the State of Applicant's bar license number is 3. Applicant has been admitted to practice before the following courts: Court: Admission date: American LegalNet, Inc. www.FormsWorkFlow.com 4. Applicant is presently a member in good standing of the bars of the courts listed above, except as provided below (list any court named in the preceding paragraph before which Applicant is no longer admitted to practice): 5. I have have not previously applied to Appear Pro Hac Vice in this district court in Case[s]: Number: Number: Number: 6. on the on the on the day of day of day of , , , . . . Applicant has never been subject to grievance proceedings or involuntary removal proceedings while a member of the bar of any state or federal court, except as provided: 7. Applicant has not been charged, arrested, or convicted of a criminal offense or offenses, except as provided below (omit minor traffic offenses): 8. Applicant has read and is familiar with the Local Rules of the Western District of Texas and will comply with the standards of practice set out therein. American LegalNet, Inc. www.FormsWorkFlow.com 9. Applicant will file an Application for Admission to Practice before the United States District Court for the Western District of Texas, if so requested; or Applicant has co-counsel in this case who is admitted to practice before the United States District Court for the Western District of Texas. Co-counsel: Mailing address: City, State, Zip Code: Telephone: Should the Court grant applicant's motion, Applicant shall tender the amount of $ .00 pro hac vice fee in compliance with Local Court Rule AT-l(f)(2) [checks made payable to: Clerk, U.S. District Court]. Wherefore, Applicant prays that this Court enter an order permitting the admission of to the Western District of Texas pro hac vice for this case only. Respectfully submitted, [printed name of Applicant] [signature of Applicant] CERTIFICATE OF SERVICE I hereby certify that I have served a true and correct copy of this motion upon each attorney of record and the original upon the Clerk of Court on this the day of , . [printed name of Applicant] [signature of Applicant] American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DISTRICT COURT WESTERN DISTRICT OF TEXAS vs. Case No.: ORDER BE IT REMEMBERED on this day, there was presented to the Court the Motion for Admission Pro Hac Vice filed by , counsel for , and the Court, having reviewed the motion, enters the following order: IT IS ORDERED that the Motion for Admission Pro Hac Vice is GRANTED, and may appear on behalf of in the above case. IT IS FURTHER ORDERED that , if he/she has not already done so, shall immediately tender the amount of $100.00, made payable to: Clerk, U.S. District Court, in compliance with Local Court Rule AT-l(f)(2). SIGNED this the day of , 20 . American LegalNet, Inc. www.FormsWorkFlow.com