ATTORNEY REGISTER INFORMATION FORM The District Clerk of Galveston County shall maintain a Register of all attorneys practicing in the District Courts of Galveston County. The Register shall contain the attorney’s: a: ) BAR NUMBER b: ) NAME c: ) ADDRESS d: ) TELEPHONE NUMBER It shall be the duty of the Attorney to verify the correctness of the information on said register and to keep the District Clerk informed as to any changes by filing written notice to update said Register with the District Clerk. The District Clerk shall use this Register for purposes of determining the last known address for delivery of notices as required by the Court, Rules, or Statutes. Notices Required Of The District Clerk Are Automated. Incomplete Address Information Could Result In Failure To Receive Notices Concerning Your Cases. Please complete this form in order to assist the District Clerk’s Office in insuring that you receive computer generated, as well as, manually prepared notices as required by the Court, Rules, or Statutes. Note: A firm with multiple attorneys must identify the name and bar number of each attorney for which they are authorizing an address change, and may prefer using the firm’s letterhead. Please check applicable box and print correct information below: □ Initial Registration □ Address Correction □ Name Change - My prior name was ___________________________________________________ □ Firm Affiliation – My prior firm name __________________________________________________ □ Other (please specify) _______________________________________________________________ Please print Name ______________________________________________________________________________ (Last) (First) (M.I.) Texas State Bar # ____________________________________________________________________ Phone # __________________________________ Fax # ____________________________________ Email Address ______________________________________________________________________ Mailing Address ____________________________________________________________________ Firm Affliation _____________________________________________________________________ Signature _____________________________________________ Date ________________________ *required for processing Please send completed to: JASON MURRAY, DISTRICT CLERK 600 59th Street, Room 4001 Galveston, Texas 77551-2388 rev. 2-17-2011 vym American LegalNet, Inc. www.FormsWorkFlow.com