Free Appearance of Counsel Form - Federal

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

APPEARANCE OF COUNSEL FORM
No. _____________________ THE CLERK WILL ENTER MY APPEARANCE AS COUNSEL ON BEHALF OF:

_________________________________________________________________ as the
(party name) appellant(s) appellee(s) petitioner(s) respondent(s) amicus curiae intervenor(s)

______________________________________ (signature)
If you have not been admitted to practice before the Fourth Circuit, you must complete and return an application for admission with this form. If you were admitted to practice under a different name than you are using now, you must include your former name when completing this form so that we can locate you on the attorney roll.

__________________________________
Name (printed or typed)

_______________
Voice Phone

__________________________________
Firm Name (if applicable)

_______________
Fax Number

__________________________________ __________________________________
Address

_________________________________
E-mail address (print or type)

I am not participating in this case. Appellate counsel is:

__________________________________________________________
(Name) (Phone)

REGISTRATION AS AN APPELLATE ECF FILER
Electronic filing of documents by counsel is required in all Fourth Circuit cases. If you have not registered as a Fourth Circuit ECF Filer, please complete the required steps at www.ca4.uscourts.gov/cmecftop.htm.

CERTIFICATE OF SERVICE
************************** I certify that on this date I served this document on all parties as follows:

______________________________ Signature

_____________________________ Date

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