Electronic Filing Registration Form - Andrea F. Rocco Cuyahoga County

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Electronic Filing Coordinator
d Drive
Cleveland, OH
Electronic Filing Department
ANDREA F. ROCCO
Nailah K. Byrd
1200 Ontario Street
Cuyahoga County
Cleveland, OH 44113
Clerk of Courts
(216) 698-8682
Efile_support@cuyahogacounty.us
Electronic Filing Registration Form
E-FILE REGISTRATION FORM
Pro se
Firm Support Staff
Attorney
Electronic Filing Registration
Registrant’s Name:
____________________________________________________________
Attorney Bar Number:
State:
Ohio Attorney Bar Number: ____________________________________________________________
(For Attorney Accounts Only)
Law Firm:
____________________________________________________________
Mailing Address:
____________________________________________________________
City, State, Zip:
____________________________________________________________
Phone Number:
____________________________________________________________
Fax Number:
____________________________________________________________
E-mail Address:
____________________________________________________________
Contact Person:
____________________________________________________________
If pro se, case # on which you are e-filing______________________
I hereby agree to pay to the Clerk of Courts all charges incurred by me in using the Clerk of Courts' Electronic Filing
System. These charges shall include the litigation fees, costs and expenses set by statute and by local court rule in the
I hereby agree to pay to the Clerk of Courts all charges incurred by me in using the Clerk of Courts’ Electronic Filing
amounts and as usually and customarily assessed litigants by the Clerk of Courts. I understand that there is no cost per
System. These charges shall include the litigation fees, costs and expenses set by statute and by local court rule in
se for using the Clerk of Courts' Electronic Filing System and that the above costs are the only ones for which I am
the amounts and as usually and customarily assessed litigants by the Clerk of Courts. I understand that there is no
responsible. I hereby authorize the Clerk of Courts to charge by American Express, Discover, MasterCard or Visa
cost per se for using the Clerk of Court’s Electronic Filing System and that the above costs are the only ones for
account the fees, costs, and expenses directly connected with the court documents electronically filed by me.
which I am responsible.
It is my understanding that this Electronic Filing Account may be revoked by me at any time for any reason and without
I hereby authorize the Clerk of Courts to charge my American Express, Discover, MasterCard or Visa Account the
explanation, but I also understand that my doing so will invalidate any electronic filings made thereafter until a new
fees, costs and expenses directly connected with the court documents electronically filed by me. It is my
Electronic Filing Account is created or restored.
understanding that this Authorization may be revoked by me at any time for any reason and without explanation,
but I also understand that my doing so will invalidate any electronic filings made thereafter until a new Authorization
I understand that the Clerk of Courts collects data on my actions performed inside the electronic Filing System. I agree
is restored.
that my Electronic Filing account is unique to me and my ID and password should not be shared with anyone. I agree
that I will be held responsible for all actions performed by my account.
I also agree to be bound by the policies, procedures, forms and local rules governing the use of electronic filing in
the courts of Cuyahoga County as more fully explained in the materials provided to me by the Clerk of Courts.
By checking this box, I state that I have read the Electronic Filing Terms of Use on
I agree to be bound by the terms of use, conditions stated above, policies, procedures, forms and local rules governing
the use of electronic filing in the courts of Cuyahoga County as more fully explained in the materials provided to me by
the Clerk of Courts.
Signature:
____________________________________________________________
Printed Name:
____________________________________________________________
Date Signed:
____________________________________________________________
e-signature
date
Submit E-File Form Online
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