(Rev. 10/2010) UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF WEST VIRGINIA Electronic Case Filing System Attorney/Trustee/United States Trustee Registration Form and User Agreement I request that the United States Bankruptcy Court for the Southern District of West Virginia, issue me a login and password so that I can use the Court=s Electronic Case Filing (ECF) System. I have successfully completed attorney / trustee / United States Trustee training in the class held at the location, date and time listed below and verify that (check one): □ I am admitted to practice in the United States District Court for the Southern District of West Virginia. □ I have been admitted pro hac vice in Case Number _______________ by Order (copy attached) and agree that my login and password are limited to filing in that case. I understand that the use of my login and password serves as and constitutes my signature. I agree to protect and secure my password and I will immediately notify the Court if I have any reason to suspect that my password has been compromised in any way. I further agree to abide by all procedural and technical requirements contained in this Court’s General Orders, Local Rules, and Administrative Procedures for Filing, Signing and Verifying Pleadings and Papers by Electronic Means. (PLEASE PRINT OR TYPE) First/Middle/Last Name: _____________________________________________________________________ Bar ID# #: ____________________________________ State: ____________________________________ Class Location, Date and Time: _______________________________________________________________ Firm Name: _______________________________________________________________________________ Firm Address: ______________________________________________________________________________ ______________________________________________________________________________ Voice Phone Number: ____________________________ FAX Phone Number: _______________________ Internet E-Mail Address: _____________________________________________________________________ E-mail Format (choose one): ___ html format (for e-mail programs such as Outlook, Notes, Netscape or ISP e-mail) ___ plain text format (for e-mail programs that will not accept HTML format, such as cc:Mail, GroupWise) By submitting this registration form, the undersigned agrees to abide by the following rules: 1. The assigned ECF login and password are for use only in cases pending in the United States Bankruptcy Court for the Southern District of West Virginia. 2. Filer is defined as a registered attorney, trustee, or United States Trustee, who electronically transmits any pleading or document to the Court. American LegalNet, Inc. www.FormsWorkFlow.com 3. Every pleading, motion, and other document that is subject to Rule 11 of the Federal Rules of Civil Procedure and is filed electronically shall be signed by the filer in the form of @/s/ John Doe@ on the signature line. A filer=s password issued by the Court combined with the filer=s identification, serves as and constitutes the attorney=s, trustee=s or the United States Trustee=s signature. Therefore, the filer must protect and secure the password issued by the Court. If there is any reason to suspect the password has been compromised in any way, it is the duty and responsibility of the attorney, trustee or the United States Trustee to change their password and immediately notify the Court. 4. A registered filer is responsible and liable for any documents submitted electronically to ECF by means of the filer’s login and password. 5. An attorney=s, trustee’s, or United States Trustee’s registration will constitute a waiver in law of conventional service of documents, pursuant to Bankruptcy Rule 7005. The registered attorney, trustee, or United States Trustee agrees that the CM/ECF-generated notice of electronic filing will constitute service of the electronic filing on behalf of the client. 6. An attorney’s, trustee’s, or United States Trustee’s registration will constitute a request and consent to receipt of notice via electronic means in lieu of paper notice by mail, pursuant to Federal Rule of Bankruptcy Procedure 9036. ____________________________ DATE _________________________________________ APPLICANT=S SIGNATURE __________________________________________ TITLE (Attorney, Trustee, or United States Trustee) Please return this form, along with the Credit Card Authorization Form, to: United States Bankruptcy Court Southern District of West Virginia Attn: CM/ECF Registration 300 Virginia Street East, Room 3200 Charleston, WV 25301 American LegalNet, Inc. www.FormsWorkFlow.com Exhibit 1-A (Rev. 07/2008) UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF WEST VIRGINIA Credit Card Blanket Authorization Form (For Attorney Use - Print or Type Only) I hereby authorize the U. S. Bankruptcy Court for the Southern District of W est Virginia to charge the credit card(s) identified below for payment of fees, costs and expenses which are incurred by myself or the authorized users which I have listed below. This form must be signed by the person whose signature appears on the back of the credit card. Individual or Firm Name (print): _____________________________________________________________ Address on card: Street or POB _____________________________________________________________ City, State, Zip: _____________________________________________________________ Telephone Number: _____________________________ Facsimile Number: ___________________________ Credit Card Holder Name: _____________________________________________________________ Names of persons within your firm who are authorized to use the credit card(s)/account number(s) which you have provided: __________________________________________ _______________________________________ __________________________________________ _______________________________________ American Express Account No.: ___________________________________ Exp. Date: __________ Security Code: _________ Visa Account No.: _______________________________________________ Exp. Date: __________ Security Code: _________ MasterCard Account No. __________________________________________ Exp. Date: __________ Security Code: _________ American Express Account No.: ____________________________________ Exp. Date: __________ Security code: _________ Name of person who you wish to receive receipts for payment: _____________________________________ In the event the charge against this account is denied, you will be notified immediately to make payment in cash, money order or certified check. Any abuse of this privilege may result in your removal from the credit card program. _________________________________________________ AUTHORIZED SIGNATURE ____________________________________ DATE This form will remain on file in a secure location with this office and will remain in effect until specifically revoked in writing by the person with authority to cause such revocation and/or the expiration date of the card has passed. It is the responsibility of the law firm named above to complete a new credit card blanket authorization when a credit card has been renewed, revoked, canceled or stolen and when a person or persons are added or deleted from this authorization. Please return completed form to: U. S. Bankruptcy Court Southern District of West Virginia Attn: CM /ECF Registration 300 Virginia Street East, Room 3200 Charleston, W V 25301 American LegalNet, Inc. www.FormsWorkFlow.com