UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF PENNSYLVANIA
OFFICE OF THE CLERK OF COURT
Rule 5.1.2 of the Local Rules of Civil Procedure
Electronic Case Filing
VALIDATION OF SIGNATURE FORM
Pursuant to Rule 5.1.2, Electronic Case Filing, all attorneys who have been excused from
registering as an ECF Filing User, as defined in the ECF Procedures set forth in Rule 5.1.2,
are required to complete this Validation of Signature form validating his or her signature
for submission of filings on disk in portable document format (PDF), so that the filings may
be entered into the District Court’s ECF system.
The document on disk must be
accompanied by a courtesy copy of the document in paper format for use by the court.
Attorneys who complete this form will receive a signature code which must be used by the
attorney on the signature line of all courtesy copies submitted with a disk. The document
as submitted on the disk will constitute the original document under Section 3 of Local Civil
Rule 5.1.2.
(Please Print or Type)
First Name: ______________________________________ Middle Initial/Name: ___________________________
Last Name: _______________________________________Generation (
): __________________________
i.e., Sr., Jr.
Firm: _____________________________________________ Bar Id No. and State: ____________________________
Address: ______________________________________________________________________________________________
Address: ______________________________________________________________________________________________
City: ______________________________________________ State: ________________________ Zip: ________________
Telephone No.: (
) ___________________________ Fax No.: (
) ___________________________________
Email Address: _______________________________________________________________________________________
Are you admitted to practice in the Eastern District of Pennsylvania?
Yes
No
If yes, are you a member in good standing?
Yes
No
Are you admitted to practice pro hac vice in the Eastern District of Pennsylvania?
Yes
No
(rev. 8/2016)