FOR COURT USE ONLY
(Name) Prisoner No. (Place of Confinement) (Mailing Address) (City, State, Zip)
This form may be filled in and printed for filing. 1) If using Acrobat Reader, the data cannot be saved. Print the form and review it carefully before exiting. Upon exiting all data input will be lost. 2) Use 4-digit year for dates.
Telephone:
UNITED STATES DISTRICT COURT DISTRICT OF ALASKA ) ) ) ) ) ) ) ) ) ) ) )
Case No. MOTION FOR APPOINTMENT OF COUNSEL
Plaintiff/Petitioner vs
Defendant(s)/Respondent(s)
Plaintiff/Petitioner
moves this court for the
appointment of counsel. This motion is based on the grounds that plaintiff/petitioner requires the assistance of counsel and is financially unable to retain an attorney. This motion is supported by the Financial Affidavit in Support of Request for Attorney attached hereto. Dated:
Signature of Plaintiff/Petitioner
Print
Clear Form