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Augusta

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF GEORGIA
Scott L. Poff Clerk

OFFICE OF THE CLERK

PRO HAC VICE ADMISSION - INFORMATION AND INSTRUCTIONS Local Rule 83.4 sets forth the requirements for admission pro hac vice
LR 83.4. Permission to Practice in a Particular Case.
(a) Georgia bar members who reside in this district or maintain their principal place of Any member this district shall of the bar before this Court via pro hac business in in good standing not appear of any other district court of the United States who is not aeven to represent someone resident of this vice admission, but instead must join this Court's bar, district and who does not maintain an office in this district in one (or an occasional) case.

for

the

practice

of

law

may

be

permitted

to

appear

and

participate in a to LR 83.4(a), but who is in good standing with (b) Any attorney not subject particular case before Court, whether civil the or criminal, with the prior approval of to Court and upon bar of another federal district court, may be permittedthisappear and participate the payment of a minimal fee, civil or to the with the prior in a particular case before this Court, whether subject criminal, following approval provisions. of this Court, subject to the following conditions:
(1)(a) The Court counsel must designate, by a a party filed in the pro hac vice requires, in a case where writing is represented only by counsel not a member of willing of this this case in which appearance is sought, somethe bar member of Court, such counsel to whom motions and writing be served. For that Court's bar upondesignate, by a papers mayfiled in that case some willing member of the local bar of designation to be effective, such local counselthis Court a upon whom must enter written motions and papers appearance in the case. may be served. That designation shall not

become

effective

until

such

local

counsel

has

entered

a

In any case in a writing filed (2)written appearance herein. pro hac vice counsel also must: (i) certify, inwhich an attorney makes an appearance in any action or case pending in this with this Court, membership in good standing of a federal district court (ii) file with the is not a member a the bar of court; andand said attorney Clerk of this Court of certificateof this Court, he shall certify good standing from that court.that he is a member in good standing of a district court of the United States and shall file a
(c) Any certificate of good standing from that court with the Clerk of attorneys representing the United States Government, or any agency thereof, the Court. and participate in particular actions or proceedings in an may appear official capacity without a petition for admission, provided the attorney is a (b) Any attorneys representing the United States Government, member of a federal district court's bar. Any such attorney so appearing shall or any agency thereof, appear and participate in certify to the Court in writing that he may she has read and is familiar with the or particular actions or proceedings so his official judge, any local rules. Further, unless excused from doing in by the presidingcapacity without a be accompanied at hearings and trials is a member of a such attorney shall petition for admission, provided heby an Assistant United bar of a this district who the also review and States Attorney of district court ofshall United States. sign pleadings.

_________________________

Admission Fee:$200.00 or U.S. Postal money money cashier's check, Admission Fee: $200 cash cash or U.S. Postal order, order, cashier'sor law $50.00 firm check made or law firm check made payable to Court. When making check, payable to the Clerk, U.S. District the Clerk, U.S. application by motion for When making applicationby motion for of the fee District Court. admission pro hac vice on-line, payment admission shall be made by credit card.

______________________

Application:Type, completing allall blanks. Application: Type, completing blanks.

Designated Local Counsel: Must be an active member in good standing of the Designated Local Counsel: Must be an active member in good standing _____________________________________________ Bar of thisthe Bar of this Court. of Court.
Mandatory Requirements: Provide a list of cases filed in this this _________________________________________ Mandatory Requirements: Provide a list of all all cases filed in Court in which applicant has appeared as counsel. Court in which applicant has appeared as counsel.

United States District Court
Southern District of Georgia

Case No. Plaintiff v. Defendant Appearing on behalf of (Plaintiff/Defendant)

ORDER OF ADMISSION It appearing to the Court that the requirements stated in LR83.4 for admission pro hac vice have been satisfied, Petitioner's request to appear pro hac vice in the United States District Court for the Southern District of Georgia in the subject case is GRANTED. This ______ day of _________, _____.

UNITED STATES DISTRICT JUDGE UNITED STATES DISTRICT/MAGISTRATE JUDGE *** NAME OF PETITIONER: Business Address: Firm/Business Name Street Address Street Address (con't) City State Zip

Mailing Address (if other than street address)
Address Line 2 City, State, Zip

Telephone Number (w/ area code) Georgia Bar Number

United States District Court
Southern District of Georgia

Plaintiff v.

Defendant.

) ) ) ) ) ) )

CASE NO.: Appearing on behalf of:

(Plaintiff/Defendant)

APPLICATION FOR ADMISSION PRO HAC VICE Petitioner, , hereby requests permission to appear pro hac vice in the subject case filed in the Division of the United States District Court for the Southern District of Georgia. Petitioner states under penalty of perjury that (he/she) is a member in good standing of the Bar of the following United States Court, . Petitioner states further that (he/she) is eligible for admission under Local Rule 83.4 and that (he/she) does not reside or maintain an office for the practice of law in the Southern District of Georgia. Petitioner designates as local counsel. His/her business address is provided below in the Consent of Designated Local Counsel. Petitioner further certifies that (s)he has read, is familiar with, and will comply with the Local Rules of the Southern District of Georgia. 2009. day of This , 20

(Signature of Petitioner)

CONSENT OF DESIGNATED LOCAL COUNSEL
, designated local counsel for the subject case, agree to readily I, communicate with opposing counsel and the Court regarding the conduct of this case and accept papers when served and recognize my responsibility and full authority to act for and on behalf of the client in all proceedings related to this case, including hearings, pretrial conferences and trials, should the Petitioner fail to respond to any Court order for appearance or otherwise. day of This ,

Georgia Bar Number

Signature of Local Counsel (Law Firm)

Business Telephone (Business Address) (City, State, Zip) (Mailing Address)