Free Local Form AD60 - ECF LIMITED ACCESS REGISTRATION FORM - Washington

AD60 (3/06)

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF WASHINGTON

ELECTRONIC CASE FILING SYSTEM (ECF) REGISTRATION FORM LIMITED ACCESS - PROOF OF CLAIM FILER

Name: Firm Name: Mailing Address:

_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

Telephone Number: _________________________________________________________ Fax Number: _________________________________________________________

Primary E-mail address:________________________________________________________ E-mail address (2nd): _________________________________________________________

Category: (Check one)

` Creditor ` Other (please describe)____________________________________ ` Yes ` No

I am a registered claims filer in other districts.

The ECF system automatically provides a Notice of Electronic Filing to the filing party. All other parties in the case who are ECF participants will receive notification of electronic filing by electronic means either at the time of filing or on a daily basis. A Notice of Electronic Filing is not sent for proofs of claim. E-mail format:

` html format for Netscape or ISP e-mail service ` text format for cc:Mail, GroupWise, other e-mail service

I would like ECF e-mail to be sent: ` With each new filing ` At the end of each day ` I do not wish to receive e-mail notification from the ECF system.

I hereby certify that I have either completed the required training for my category as shown above and have demonstrated a satisfactory level of competency or am a registered claims filer in other districts; that I have read and agree to adhere to and be bound by the general orders, administrative and technical procedures and local rules of the court relating to ECF; and I understand and agree that any documents filed electronically using my password will be ascribed to me.

Date: ______________

_____________________________________ Printed or typed name of applicant _____________________________________ Signature

Send completed registration form to: U.S. Bankruptcy Court Registration Section P.O. Box 2164 Spokane, WA 99210 Fax (509)353-2417 [email protected]