UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT
APPEARANCE
CASE NUMBER:
To the Clerk of this court and all parties of record: Enter my appearance as counsel in this case for:
Date
Signature
Connecticut Federal Bar Number
Print Clearly or Type Name
Telephone Number
Address
Fax Number
E-mail address
CERTIFICATE OF SERVICE
This is to certify that the foregoing Appearance was mailed on this date to the following:
Signature
(Use additional pages, if necessary, to list the name and address of each attorney or party for which you are certifying service) Appearance.frm.Jan.2001