IN THE UNITED STATES DISTRICT/BANKRUPTCY COURTS FOR THE DISTRICT OF IDAHO ) ) ) ) ) ) ) Case No. APPLICATION FOR ADMISSION PRO HAC VICE AND MOTION FOR WAIVER OF FEE
Pursuant to Local Rule 83.4(e) of the United States District Court for the District of Idaho, _________________________________, hereby applies for admission pro hac vice to appear and participate in this case on behalf of __________________________________. The applicant hereby attests as follows: 1. Applicant resides in ______________________________________, and practices at the following address and phone number________________________________________________ 2. Applicant has been admitted to practice before the following courts on the following dates: Courts: __________________________________Dates: ________________________________ __________________________________Dates:________________________________ __________________________________Dates:________________________________ 3. Applicant is in good standing and eligible to practice in said courts. 4. Applicant is not currently suspended or disbarred in any other courts. 5. Applicant/Designee is on the pro bono panel and requests waiver of the pro hac vice attorney admission fees: [ ] yes [ ] no
6..____________________________________________ , a member in good standing of the bar of this court, of the firm of _______________________________________, practices at the following office address and phone number: _______________and is hereby designated as co-counsel with authority to act as attorney of record for all purposes. Said designee hereby consents to this designation by signing this application.
Dated this day of ___________________________, .
Applicant_____________________________________Designee: ______________________________