WVND/ATTY- (10/06) Notice of Change of Attorney Information UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF WEST VIRGINIA AT Select: NOTICE OF CHANGE OF ATTORNEY INFORMATION V. C Case Number: Name of attorney: _______________________________________________________________ West Virginia Bar ID No.: _____________ -or- Out of State Attorney TO UPDATE NAME OR FIRM INFORMATION (Note: Please file a separate Notice of Change of Attorney Information form per case per attorney) Attorney name change: From: __________________________________________________________________ To: ____________________________________________________________________ New firm/government agency name: ________________________________________________ New address: __________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ New telephone number: __________________________________________________________ New facsimile number: __________________________________________________________ New e-mail address: _____________________________________________________________ (provide only if you are a registered E-filer with this court) American LegalNet, Inc. www.FormsWorkflow.com WVND/ATTY- (10/06) Notice of Change of Attorney Information TO BE ADDED AS COUNSEL OF RECORD My firm/government agency ________________________________________________ has appeared in the above-titled action. I am counsel of record and ask to request to be added to has appeared in the above-titled action. I am counsel of record and be added to the docket. the docket. Your name: ____________________________________________________________________ Firm/government agency name: ___________________________________________________ _ Address: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Telephone number: _____________________________________________________________ Facsimile number: ______________________________________________________________ E-mail address: ________________________________________________________________ TO CHANGE WITHIN-FIRM REPRESENTATION CAUTION: This Notice of Change of Attorney Information form CANNOT be used by a firm, NOTE: Please do not government agency to WITHDRAWa case. case. A motion to withdrawor solo practitioner, or use this form to WITHDRAW from from a If a firm, solo practitioner, government agency seeks to WITHDRAWfor a firm, solo practitioner, or government agency to and a proposed court order are required from a case, please file a MOTION TO WITHDRAW withdraw from a case. and a respective proposed Order. I am no longer associated with: the above-entitled action. the following party(s) in the above entitled action ________________________________________________________________________ ________________________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com WVND/ATTY- (10/06) Notice of Change of Attorney Information Please check one of the following if you are seeking to remove your name from the above-titled One of the following if you are seeking to remove your name from the action: above-entitled action: Other attorney(s) from my current firm/government agency have appeared in this case and are on the Court’s docket. All subsequent documents shall be served on the following new attorney from my current firm/government agency: Name of attorney:_________________________________________________________ Firm/government agency name:______________________________________________ Firm address: ____________________________________________________________ Telephone number: _______________________________________________________ Facsimile number: ________________________________________________________ E-mail address:___________________________________________________________ (provide only if you are a registered E-filer with this court) TO BE REMOVED FROM THE COURT’S SERVICE LIST I am to remain counsel of record for the following party(s) in the above-entitled action: ________________________________________________________________________ ________________________________________________________________________ However, I do not wish to receive copies of any future orders, correspondence, motions, pleadings, notices, etc., and am notifying the court to remove my name from its service list for this case only. I will notify the Clerk of Court should this notice requirement change. Further, I hereby absolve other counsel of record, if any exist, from serving any future correspondence, motions, pleadings, notices, etc., upon me in this case only. Date: _____________________ Signature: __________________________________________ Name: American LegalNet, Inc. www.FormsWorkflow.com