Free Attorney Admission Petition - Washington

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UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF WASHINGTON OFFICE OF THE CLERK BRUCE RIFKIN CLERK OF COURT

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UNITED STATES COURTHOUSE 700 STEWART STREET, LOBBY LEVEL SEATTLE, WASHINGTON 98101

PETITION FOR ADMISSION TO PRACTICE

INSTRUCTIONS

Complete and return the Petition for Admission to Practice. · · · Form is fillable using Adobe Acrobat Reader. The Oath of Attorney must be notarized. Certificate of Recommendation - to be completed by two members of our bar.

Complete the registration form for the court's Electronic Case Management (ECF) system. · Required for electronic filing privileges.

Submit documents to the Clerk of Court along with a $200.00 filing fee. · Clerk, United States District Court Western District of Washington United States Courthouse, Lobby Level Attn: Attorney Admissions 700 Stewart Street Seattle, WA 98101 Acceptable forms of payment - Cash, check or credit card.

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For questions, or to check the status of your petition, contact the attorney admission clerk. · Dana Scarp Phone: 206-370-8862 E-mail: [email protected] Page 1 of 7

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON Petition for Admission to Practice COMES NOW ___________________________________________________, Washington State Bar I.D. Number __________________ , and respectfully petitions the aboveentitled court for admission to practice before the Bar of this court. In support of said petition, the petitioner states as follows: Petitioner's residence address is ____________________________________________________________________________. Petitioner's firm name is ____________________________________________________________________________. Petitioner's business address is (include city/state/zip) ____________________________________________________________________________. Petitioner's primary e-mail address is_________________________________________. and business telephone number is __________________________ (include extension). From the time of petitioner's admission by the Supreme Court of Washington on ______________________________, petitioner has been engaged in the practice of law at _________________________________________ (city & state). Petitioner submits herewith the certificates of two reputable members of the Bar of the above-entitled court, setting forth what said members know of petitioner's experience. Petitioner certifies that he/she has read the Federal Rules of Civil and Criminal Procedures and the Local Rules of the above court. Wherefore, petitioner herein respectfully petitions that he/she be admitted to practice before the bar of the United States District Court for the Western District of Washington. Page 2 of 7

OATH OF ATTORNEY

I, _________________________________, petitioner herein, being first duly sworn, on oath depose and say: That I have read the foregoing petition and that the facts stated therein are true of petitioner's own knowledge.

Further, "I solemnly swear or affirm that as an attorney and officer of this Court, I will support and defend the Constitution and the laws of the United States, I will conduct myself in an honest and ethical manner at all times, and I will faithfully serve my clients and this Court, honoring the principles of respect, justice, and equality for all."

__________________________________________ Signature of Applicant

STATE OF __________________________) ) ss. COUNTY OF ________________________)

Subscribed and sworn to before me this ______ day of __________________, 20 _____.

__________________________________________ Notary Public in and for the State of (SEAL) ________________________________, residing at _________________________________________.

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CERTIFICATE OF RECOMMENDATION
I, the undersigned _______________________________________________________, Washington State Bar Number _________________ hereby certify that: I am admitted to practice as a member of the Bar of this court. I have known ______________________________ personally for ______ years (or _____ months), and petitioner is a person of good moral character. I recommend the admission of the petitioner to the Bar of this court. Dated at __________________ this _____ day of ____________________, 20____. _________________________________________ Your Signature

Law Firm: _________________________________________________________ Firm Address: (include city/state/zip) _________________________________________________________ Work phone: ______________________ E-mail (if applicable): _______________________________________

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CERTIFICATE OF RECOMMENDATION
I, the undersigned _______________________________________________________, Washington State Bar Number _________________ hereby certify that: I am admitted to practice as a member of the Bar of this court. I have known ______________________________ personally for ______ years (or _____ months), and petitioner is a person of good moral character. I recommend the admission of the petitioner to the Bar of this court. Dated at __________________ this _____ day of ____________________, 20____. _________________________________________ Your Signature

Law Firm: _________________________________________________________ Firm Address: (include city/state/zip) _________________________________________________________ Work phone: ______________________ E-mail (if applicable): _______________________________________

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ATTORNEY REGISTRATION FORM for the ELECTRONIC CASE FILING SYSTEM Please complete this form to register for electronic filing privileges in the Western District of Washington's Electronic Case Filing system (ECF).

________________________________________________________________________________
Name (first, middle, last)

________________________________________________________________________________
Firm Name

________________________________________________________________________________
Firm Address (include city, state and zip code)

_________________
W ashington State Bar #

______________________
Telephone # (include extension)

______________________
Last Four Digits of S.S. #

______________________________________
Primary E-mail Address (required)

____________________________________
Secondary E-mail Address (if applicable) Yes No Not Sure

Does your e-mail support HTM L messages?

By submitting this registration form, the undersigned understands and agrees to the following:
1. 2. The CM/ECF system is to be used for filing and reviewing electronic documents, docket sheets, and notices. The password issued to you by the court, combined with your login, serves as your signature under Federal Rule of Civil Procedure 11. Therefore, you are responsible for protecting and securing this password against unauthorized use. If you have any reason to suspect that your password has been compromised in any way, you are responsible for immediately notifying the court. Members of the court's systems staff will assess the risk and advise you accordingly. By signing this Registration Form, you consent to receive notice electronically, and to waive your right to receive notice by personal service or first class mail pursuant to Federal Rule of Civil Procedure 5(b)(2)(D), except with regard to service of a complaint and summons. This provision does include electronic notice of the entry of an order or judgment. You will continue to access court information via the W estern District of W ashington's internet site or through the Public Acess to Court Electronic Records (PACER) system. You will continue to need a PACER login, in addition to the court-issued password. You can register for PACER at their web site: http://pacer.psc.uscourts.gov By this registration, the undersigned agrees to abide by the rules and regulations in the most recent General Order, the Electronic Filing Procedures developed by the Clerk's Office, and any changes or additions that may be made to such administrative procedures in the future.

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______________________________________ Signature Page 6 of 7

____________ Date

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON _____________________________________________ ______________________________________________ PLEASE SUBMIT PAYMENT ALONG WITH YOUR APPLICATION IN THE AMOUNT OF $200.00 TO: Clerk, United States District Court Western District of Washington United States Courthouse, Lobby Level Attn: Attorney Admissions 700 Stewart Street Seattle, WA 98101 Personal Check Money Order Cashier's Check Cash Credit/Debit

PAYMENT FORM

Make Checks Payable to: U.S. District Court __________________ Do not submit cash if you are mailing your payment

Credit/Debit Card Authorization Visa Mastercard Amex

Name of Card ____________________________________ Card Number _____________________________________ Expiration Date __________ 3 digit Security Code ______ (Located on back of card)

Billing Address _______________________________________ _______________________________________ I authorize payment of $200.00 by credit card _____________________________________________ Signature

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