Free Form 9 - District of Columbia

Form 9. Certification of Practice Pro Bono Publico.

DISTRICT OF COLUMBIA COURT OF APPEALS [or] SUPERIOR COURT OF THE DISTRICT OF COLUMBIA

______________________________ Plaintiff/Appellant v. ______________________________ Defendant/Appellee __________________________________

) ) ) ) ) ) ) ) ) )

CERTIFICATION OF PRACTICE PRO BONO PUBLICO

Case No. ____________________

I certify under District of Columbia Court of Appeals Rule 49(c)(8) and 49(c)(9): 1. That I am a member in good standing of the bar(s) of: ________________________________________________________ ________________________________________________________ ________________________________________________________ 2. That I have not been disbarred or suspended for disciplinary reasons, and I have not resigned a bar membership with charges pending in any jurisdiction or court. 3. That: [_____] (a) Under Rule 49 (c)(9)(A), I am an enrolled, inactive member of the D.C. Bar; I am employed by or affiliated with a legal services or referral program; and I am providing representation in this case without compensation; or [_____] (b) Under Rule 49 (c)(9)(B), I am employed by or affiliated with the Public Defender Service or a non-profit organization located in the District of Columbia providing services without fee or for a nominal processing fee; I have submitted or will submit an application for admission

to the District of Columbia Bar within ninety (90) days of commencing the practice of law in the District of Columbia; and I am supervised by an enrolled, active member of the D.C. Bar who is employed by or affiliated with the Public Defender Service or the non-profit organization and whose signature and Bar number appear below; or [_____] (c) Under Rule 49 (c)(9)(C), I am an officer or employee of the United States government; I have been assigned or referred by an organization providing legal services to the public without fee; and I am supervised by an enrolled, active member of the D.C. Bar, whose signature and Bar number appear below; or [_____] (d) Under Rule 49 (c)(8), I am practicing under the direct supervision of an enrolled, active member of the District of Columbia Bar, whose signature and Bar number appear below; I am providing representation in this case without compensation; I have submitted or will submit an application for admission to the District of Columbia Bar within ninety (90) days of commencing the practice of law in the District of Columbia; I will not practice under this temporary authority for more than 360 days; and I give notice to the public of my bar status and supervision. I understand, under Rule 49 (c)(9), that I am subject to the District of Columbia Rules of Professional Conduct and the enforcement procedures applicable thereto to the same extent as if I were an enrolled, active member of the District of Columbia Bar. I further understand that my conduct is subject to all authority of the courts in which I practice.

______________________________________________________________________ Signature of Certifier Print Name Date

______________________________________________________________________ Business Address

______________________________ Telephone No.

______________________________________________________________________ Signature of D.C. Bar Member DC Bar Number Date under Rule 49(c)(8) and (c)(9)