PRO HAC VICE APPLICATION INSTRUCTIONS Admission Pro Hac Vice in Utah State Courts is governed by the Code of Judicial Administration Rule 11-302 Application The attached application form must be filled out completely and legibly. A check for $175 made payable to “Utah State Bar” and a Certificate of Good Standing from the licensing state in which the applicant resides must accompany each application. Original application and fee must be submitted to the Utah State Bar. Requirements < < < < Motion by member of the Utah State Bar who expressly consents to appearing as associate counsel must be filed in the court along with copies of application and receipt showing payment of the $175 fee. Original application, the $175 fee, and a copy of the motion must be served upon the following: Katherine A. Fox, General Counsel Utah State Bar 645 South 200 East Salt Lake City, UT 84111-3834 Telephone: (801) 531-9077 A separate application must be submitted for each case in which the applicant wishes to appear. An attorney admitted pro hac vice shall comply with and is subject to Utah statutes, rules of the Utah Supreme Court, including the Rules of Professional Conduct and the Rules of Lawyer Discipline and Disability, the rules of the court in which the attorney appears, and the rules of the Utah Judicial Council. 8/99 American LegalNet, Inc. www.FormsWorkflow.com APPLICATION FOR ADMISSION PRO HAC VICE APPLICANT: Name Address Telephone Fax Number E-mail address (if any) Bar Admission STATE TO WHICH ADMITTED BAR NUMBER Case in which Applicant wishes to appear: Case Name: Court: Case Number: Party on whose behalf Applicant seeks to appear: Other cases in any state or federal court in Utah in which the applicant or member of applicant’s firm has appeared pro hac vice in the previous five years (attach additional sheets if necessary): CASE NAME Applicant is Applicant has Applicant is organization. CASE NUMBER COURT is not currently suspended or disbarred from the practice of law in any state. has not been disciplined by any state’s or court’s Bar organization in the prior 5 years. is not the subject of any pending disciplinary proceedings by any state’s or court’s Bar Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com ASSOCIATE COUNSEL : Utah Bar No. Name Address Telephone Fax Number E-mail address (if any) Applicant certifies the following: A. B. C. D. E. Applicant submits to the disciplinary authority and procedures of the Utah State Bar. Applicant is familiar with the rules of procedure and evidence, including applicable local rules. Applicant will be available for depositions, hearings, and conferences. Applicant will comply with the rulings and orders of the court. All the information included in this Application is accurate. Applicant must attach to this application a Certificate of Good Standing from the licensing state in which the applicant resides. Applicant’s Signature STATE OF COUNTY OF Signed and sworn to before me on ) ) ss ) by . My Appointment expires: Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com