Free PDF - Minnesota

UNITED STATES DISTRICT COURT
District of Minnesota

Richard D. Sletten, Clerk Wendy S. Osterberg, Chief Deputy Clerk Warren E. Burger Federal Building and U.S. Courthouse 316 North Robert Street Suite 100 St. Paul, MN 55101 (651) 848-1100 U.S. Courthouse 300 South Fourth Street Suite 202 Minneapolis, MN 55415 (612) 664-5000 Gerald W. Heaney Federal Building and U.S. Courthouse and Customhouse 515 West First Street Suite 417 Duluth, MN 55802 (218) 529-3500 U.S. Courthouse 118 South Mill Street Suite 212 Fergus Falls, MN 56537 (218) 739-5758

To Whom it May Concern: We have accepted for filing pleadings in an action listing you as counsel or co-counsel, but are unable to find your name in the active roll of attorneys admitted to practice before this court. If you wish to be listed as an attorney of record in matters pending before this court, you must either be (1) a member of the U.S. District Court of Minnesota, or (2) temporarily admitted pro hac vice in accordance with our local rules. The attached Motion for Admission Pro Hac Vice must be completed in its entirety, as all information is necessary for data entry and retrieval purposes. The motion shall be converted to Portable Document Format (PDF) and electronically filed in our Electronic Case Filing system (ECF). The court will issue a TEXT ONLY order in ECF granting or denying the motion. The Attorney Admissions Clerk will issue and send an ECF Login and Password to the newly admitted Pro Hac Vice attorney.

Mike Chutich Attorney Admissions Clerk

Local Rule 83.5 (e) (e) Government Attorneys Attorneys admitted to practice in a United States District Court, but not qualified under this rule to practice in the District of Minnesota, may, nevertheless, if they are representing the United States of America or any officer or agency thereof, practice before this court in any action or proceeding in this court in which the United States or any officer or agency thereof is a party.

Form Modified 10/10/08

UNITED STATES DISTRICT COURT
District of Minnesota
Warren E. Burger Federal Building and U.S. Courthouse 316 North Robert Street ­ Suite 100 St. Paul, MN 55101 Phone: 651-848-1100

Case Number:

Case Title: MOTION FOR ADMISSION PRO HAC VICE FOR U.S. GOVERNMENT ATTORNEY USE ONLY
(Filing Fee Waived)

Affidavit of Proposed Admittee
I, United States District Court for the District of but am not admitted to the bar of this court. I will be representing (Government Agency) in the action listed above. I further certify that I understand that the District of Minnesota is an electronic court and I consent to service required by Fed.R.Civ.P. 77 by electronic means and I understand that electronic notice will be in lieu of service by mail unless the Court learns that a failure has occurred in which case service will be effected by mail within 24 hours. Affiant's Signature Affiant's Typed Name Government Agency: Suite/Building : Street Address : City State Zip : Affidavit/Certification I hereby certify that the affiant listed herein is employed as an attorney by this United States government agency. Signature Typed Name Title US Agency Note: This page shall be converted to PDF and e-filed in ECF - do not e-file the instruction page. This original shall be retained by the filer through the end of any appeal period. If e-filing is not possible, please mail to: Attorney Admissions, Warren E. Burger Federal Building and U.S. Courthouse, 316 N. Robert St., Suite 100, St. Paul, MN 55101.
Form Modified 10/10/08

certify that I am currently a member in good standing of the bar of the

Date: Affiant's State Bar ID: Telephone: Fax: E-mail: ( ( ) )

Date