Free Attorney Admission Petition - Louisiana

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA

INSTRUCTIONS FOR COMPLETION OF PETITION FOR ADMISSION The attached Petition for Admission must be typewritten or printed legibly. The Clerk should also be furnished with a CURRENT (dated within the last six months), ORIGINAL Certificate of Good Standing from the Clerk of the SUPREME COURT OF THE STATE OF LOUISIANA (must have the Court seal). The two (2) attorneys that sign your petition MUST be a member of the Western District of Louisiana Bar. We also require that you supply us with your Louisiana Bar Number. REMIT check in the amount of $175.00 with your application. should be made payable to "Clerk, U. S. District Court". NO APPEARANCE IS NECESSARY OR REQUIRED. If you should have any questions, please contact Stephanie Alvarez, Jury Administrator, at 318-676-4228. In summary, to be admitted send: 1.) 2.) 3.) 4.) Completed Petition for Admission Completed "Written Oath for Admission to Practice" Certificate of Good Standing from LA Supreme Court Admission fee of $175.00 to Clerk, United States District Court Attention: Jury Administrator 300 Fannin Street, Suite 1167 Shreveport, LA 71101 Check

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA PETITION FOR ADMISSION
Under the provisions of ULLR Rule 83.2.3W, the undersigned attorney petitions the Court for admission to practice before this Court representing as follows: NAME:____________________________________________________________ (LAST) (FIRST) (MIDDLE) HOME ADDRESS:_________________________________________________________ (Street or P. O. Box) _________________________________________________________ (CITY) (ZIP CODE) (PARISH) HOME TELEPHONE:___________________ SOCIAL SECURITY NO.________________ DATE OF BIRTH:_______________ STATE BAR IDENTIFICATION NO._______ (State Bar ID # Is Required) NAME OF FIRM:____________________________________________________ OFFICE ADDRESS:_________________________________________________________ (Street or P. O. Box) _________________________________________________________ (CITY) (ZIP CODE) (PARISH) OFFICE TELEPHONE:_______________ FAX #: ______________ (include area code) MY higher educational background is as follows: SCHOOL _____________________________ _____________________________ _____________________________ YEARS(dates) ___________________ ___________________ ___________________ DEGREE ____________ ____________ ____________

In addition to the bar of the Louisiana Supreme Court, I am admitted to practice before the following Courts: COURT _____________________________________ _____________________________________ _____________________________________ _____________________________________ DATE OF ADMISSION _________________________ _________________________ _________________________ _________________________

I understand it is my responsibility to advise the Clerk's Office promptly in writing of any electronic mail or physical address changes. I understand that electronic mail filter software (SPAM filter) may interfere with receipt of e-mail notices and have verified that any such software installed on my computer or network will not filter out messages sent from [email protected]. I understand this electronic notice will be in lieu of notice by any other means. PRIMARY E-MAIL: _______________________________________________________ SECONDARY E-MAIL(S) (e.g., secretaries, paralegal. Do not include cocounsel):______________________________________________________________ I have never been disbarred nor suspended from practice before any Court, department, bureau, commission or other body of the any state of the United States, nor have I received any reprimand from any such Court or o t h e r b o d y , e x c e p t a s follows:__________________________________________________________ _________________________________________________________________ I am qualified to practice before this Court and am not subject to any pending disbarment or professional discipline procedure in any Court, except as follows:__________________________________________ _________________________________________________________________ I have read in their entirety the Federal Rules of Civil Procedure, the Federal Rules of Criminal Procedure, the Federal Rules of Evidence, the Code of Professional Responsibility, and the Local Rules for the Western District of Louisiana. I will follow and apply such rules before this Court. SIGNED:_________________________ STATE OF LOUISIANA PARISH OF ________________ BEFORE ME, the undersigned Notary Public, came and appeared

______________________, who after being duly sworn, did depose and say that all the allegations made in the above Petition for Admission are true and correct to the best of his/her knowledge. ________________________________ Petitioner THUS DONE AND PASSED, before me, Notary Public, this the _________ day of ___________, ______, at ______________, Louisiana.

________________________________ Notary Public

ENDORSEMENT I am admitted to _____________________. is true to the best of moral character and is practice before this Court and am familiar with I have read the Petition for Admission, and it my knowledge and belief. Petitioner is of good qualified to practice before this Court. Signed___________________________ Name Date ___________________________ (Type or Print) ______________ LA #________

Signed_________________________ Name Date _________________________ (Type or Print) _____________ LA #_______

***NOTICE***

Effective January 1, 2008, it became mandatary to file by electronic means in the U. S. District Court, Western District of Louisiana. If you need more

information about electronic filing, please refer to our website at www.lawd.uscourts.gov.

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF LOUISIANA

WRITTEN OATH FOR ADMISSION TO PRACTICE

I DO SOLEMNLY SWEAR (OR AFFIRM) that I will support the Constitution of the United States; that I will well and faithfully discharge my duties as attorney and officer of this Court; and that I will demean myself uprightly and according to law and the recognized standards of ethics of the legal profession. I do further solemnly swear (or affirm) that I

have read the Federal Rules of Civil Procedure, the Federal Rules of Criminal Procedure, the Federal Rules of Evidence, and the Uniform Local Rules of the United States District Court for the Western District of Louisiana and that I am fully prepared to use and abide by them in my practice before this Court. SO HELP ME GOD.

________________________________ Signature of Applicant STATE OF LOUISIANA, PARISH OF ________________________________ Before me, the undersigned authority, personally came and appeared ____________________________________, to me personally known, who, being by me first duly sworn, did depose and say that the above and foregoing answers and statements were made by him or her and that they are true and correct. Sworn to and subscribed before me, this the __________ day of ____________________, ________. ________________________________ Notary Public