Electronic Filing Registration Form - United States District Court

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UNITED STATES DISTRICT COURT
SOUTHERN DISTRICT OF ILLINOIS
E
F
R
F
LECTRONIC
ILING
EGISTRATION
ORM
Complete this form to request an Electronic Case Filing (ECF) account from the United States District Court for
the Southern District of Illinois. You may submit the form online at the court’s website,
or deliver the completed form to the clerk’s office (by mail or in person).
If you are submitting General
Admission paperwork to the clerk’s office, print and submit this registration form with the paperwork. Do not
submit this registration form electronically.
After verification, your user id and password will be
electronically mailed to the email address listed on the registration form. Contact the ECF Help Desk at
(866) 867-3169 (East St. Louis) or (866) 222-2104 (Benton) if you have questions concerning registration or the
electronic filing process.
Please Print or Type
Full Name: ________________________________________________________________________________
Bar ID Number: ______________________ State Issued:___________________________________________
.
Indicate all states in which you are admitted to practice
Affiliation/Firm Name: ______________________________________________________________________
Mailing Address: ___________________________________________________________________________
City: ____________________________ State: ____________________ Zip: _________________________
Telephone Number: (
) _____________________
Fax Number: (
) _________________________
Primary Email Address: ______________________________________________________________________
Secondary Email Address: ____________________________________________________________________
I already have an ECF login that I use at another court, which is ________________. Please assign same login.
Are you already or have you recently applied to be generally admitted to practice in this court?
Yes
No
If not generally admitted, will you be applying for pro hac vice admission in this district court?
Yes
No
If so, in what case __________________________________________________________________________ .
Yes
Are you submitting a new case?
No
Are you entering your appearance on behalf of a government agency?
Yes
No
Are you entering your appearance on behalf of a party to an MDL case?
Yes
No
By submitting this registration form, I agree to abide by all court rules, orders, policies, and procedures governing the use of the
electronic filing system. I also consent to receive notices of filing pursuant to Federal Rules of Civil Procedure 5(b) and 77(d) via the
court’s electronic filing system. I understand that the combination of user id and password will serve as my signature. I agree to
protect the security of my password and immediately notify the court if I learn that my password has been compromised.
Signature of Attorney: _____________________________________________ Date: ____________________________________
Submit completed Registration Form to the clerk’s office (by
Court Use Only
mail or in person) to:
United States District Court
User Code Assigned: __________________
Southern District of Illinois
Password Assigned: ___________________
Attn: ECF Registration
Issuer:______________________________
P. O. Box 249
or
301 W. Main Street
East St. Louis, IL 62201
Benton, IL 62812

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