Free Motion to Appoint Counsel - District Court of Delaware - Delaware

Caseuil)8-cv-00011-GIVIS Document 2 Filed O9/O4/2007 Pag€ T of 2

UNITED STATES DISTRICT COURT FOR THE
EASTERN DISTRICT OF PENNSYLVANIA
Petitioner/Plaintiff : O 7 "" 3 J ‘
: Civil Action No.
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Defendant(s) : p _
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I , Petitioner/Plaintiff} request appointment of counsel as
provided by 42 U.S.C. §2000(e)5.
1.) I have made a diligent effort to employ an attomey [check appropriate box(es)]:
B' CONTACTED PRIVATE ATTORNEY(S)
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D" c0NTAcTEI> A LEGAL AID ORGANIZATION
(State when this organization was contacted and why it did not assist you.)
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Case 1:08-cv—OOO11-G|\/IS Document 2 Filed O9/O4/2007 Page 2 of 2
U CONTACTED BAR ASSOCIATION LAWYER REFERRAL SERVICE,
if available. (State what assistance was provided.)




2.) If unable to pay attorney’s fees or costs - I am financially unable to hire counsel
(Complete and file Form 2 - In Forma Pauperis Petition)
3.) I believe I have a claim against the following employer (Give name and address):
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4.) The reason(s) for my claim are (Give brief employment history with dates and
specific reasons for lawsuit):
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I certify imder the penalty of peijury that the foregoing statements are true and correct.
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Date

Case 1:08-cv-00011-GMS

Document 2

Filed 09/04/2007

Page 1 of 2

Case 1:08-cv-00011-GMS

Document 2

Filed 09/04/2007

Page 2 of 2