Free Motion Requesting Appointment of Counsel - Florida

UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF FLORIDA DIVISION

,
(Name of Plaintiff/Petitioner)

vs.

CASE NO:

, , .
(Name of Defendant/Respondent)

/

MOTION REQUESTING APPOINTMENT OF COUNSEL

I, the above named Plaintiff/Petitioner, do hereby swear that I am unable to pay the costs of said proceeding or give security therefor, that I believe I am entitled to redress, and that I am unable to litigate this case on my own behalf because (please explain) . I respectfully request the appointment of counsel. G

In support of this motion, Plaintiff/Petitioner states that I have made a diligent effort to employ counsel and contacted the following attorneys:

G

In support of this motion, Plaintiff/Petitioner states that I made a diligent effort to obtain the assistance of counsel by contacting the following legal aid organizations, lawyer referral service, or pro bono attorneys:

G

I need a lawyer who can also speak in a language other than English. Please identify which language you speak:

I am financially unable to hire an attorney because:

I understand that making this application does not excuse me from litigating my case, and that it is still my responsibility to move forward in this proceeding.

I declare that my answers to the foregoing are true and correct.

(Date)

(Signature of Plaintiff/Petitioner)

Revised 06/2005

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