Free ATTORNEY ADDRESS CORRECTION REQUEST - District of Columbia

CO-1509 (Rev. 1/94)

ATTORNEY ADDRESS CORRECTION REQUEST
UNIT REPRESENTATIVE: G Add Attorney and address to system SYSTEMS OFFICE: G Firm moved to new address G Address correction/modification G Person Name change/correction G Firm Name change/correction G Create Flag: G
Pro Bono

ATTORNEY (PRO SE) FIX SPECIALIST: G Pro Se moved to new address G Attorney moved to new address G Verified G Attorney has multiple addresses ATTORNEY ADMISSION OFFICE: G Create flag: G G
Pro Hac Vice Government

G

Gvt Not Certified

G

RTC Attorney

G Attorney listed with Aprovisional@ flag G Attorney listed with Aincomplete@ flag G Attorney G Pro Se

G Other:__________________________________ Case No.:__________________________________ Bar ID No.:________________________________

Prisoner ID No.:________________________________

Name: ____________________________________________________________________________________ OLD ADDRESS: Office:__________________________________________________________________________ Unit:____________________________________________________________________________ Address:_________________________________________________________________________ _________________________________________________________________________ City:_______________________________________State:________________________Zip:_____ Telephone:_______________________________________________________________________

NEW ADDRESS: Office:___________________________________________________________________________ Unit:_____________________________________________________________________________ Address:__________________________________________________________________________ __________________________________________________________________________ City:_______________________________________State:________________________Zip:______ Telephone:________________________________________________________________________

COMMENTS:_____________________________________________________________________ _________________________________________________________________________________ DATE:_____________________________ Deputy Clerk:__________________________________