Free Notice of Change of Address - District of Columbia

UNITED STATES COURT OF APPEALS DISTRICT OF COLUMBIA CIRCUIT
333 Constitution Avenue, NW Washington, DC 20001-2866 Phone: 202-216-7000 | Facsimile: 202-219-8530

NOTICE OF CHANGE OF ADDRESS
(Please type or print clearly)

Name: CURRENT ADDRESS: Direct Phone: ( ) Firm Name: Firm Address: Firm City: Frim Phone: ( ) ) Fax: ( Fax: ( State: ) ) Email: Email: Zip Code: Fax: ( ) Effective Date: Email:

FORMER ADDRESS: Direct Phone: ( Firm Name: Firm Address: Firm City: Firm Phone: Case No: ( ) Fax: ( Caption: Yes No v. Yes No v. Yes No v. State: ) Email: v. Zip Code:

Please list below all the active cases in which you are counsel: (attach separate sheet, if necessary) Counsel is taking above case to new address/firm: Case No: Caption:

Counsel is taking above case to new address/firm: Case No: Caption:

Counsel is taking above case to new address/firm: Case No: Caption:

Counsel is taking above case to new address/firm: Yes No NOTE: If you were previously employed by the United States or an agency thereof and admitted to the bar of this court without prepayment of the admission fee, pursuant to general order, filed December 7, 1998, you must reapply for admission and pay the full fee prescribed by order of the court. Please complete this change of address form and submit it along with the current application fee of $200.00 to complete the re-application process.
USCA Form 83 August 2009 (REVISED)

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NOTICE OF CHANGE OF ADDRESS CONTINUATION SHEET Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Case No: Caption: Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No v. No v. No v. No v. No v. No v. No v. No v. No v. No v. No v. No v. No v. No v. No v. No
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v.

Counsel is taking above case to new address/firm: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Caption: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm: Counsel is taking above case to new address/firm:
USCA Form 83 August 2009 (REVISED)

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