Free Address Form - Maryland

UNITED STATES DISTRICT COURT
OFFICE OF THE CLERK

DISTRICT OF MARYLAND
Felicia C. Cannon, Clerk

CHANGE OF ADDRESS FORM
CHECK ONE: NAME: BAR NUMBER: FIRM NAME: ADDRESS: CITY/STATE: ZIP CODE: MAIN FIRM TELEPHONE NUMBER: FAX NUMBER: EMAIL ADDRESS: CASE NUMBER(S), IF ANY: ATTORNEY [ ] PRO SE [ ]

DATE:

U.S. District Court (Rev. 6/13/2003) - Change of Address Form

Northern Division · 4415 U.S. Courthouse · 101 W. Lombard Street · Baltimore, Maryland 21201· 410-962-2600 Southern Division · 240 U.S. Courthouse · 6500 Cherrywood Lane · Greenbelt, Maryland 20770 · 301-344-0660
Visit the U.S. District Court's Web Site at www.mdd.uscourts.gov