Pro Se Applicant Electronic Filing Registration Form

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UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF OHIO
PRO SE APPLICANT ELECTRONIC FILING REGISTRATION FORM
This form is used to register for an account on the Northern District of Ohio Electronic Filing System (the system).
Registered pro se applicants will have privileges to electronically submit documents in a particular case and to view the electronic
docket sheets and documents. By registering, pro se applicants consent to receiving electronic notice of filings through the system.
The following information is required for registration:
PLEASE TYPE
Mr. / Mrs. / Ms. (circle one)
First Name: ___________________________________ Middle Name: _________________________________
Last Name: ___________________________________ If appropriate circle one: Senior / Junior / II / III
Address: ____________________________________________________________________________________
____________________________________________________________________________________
City:_______________________________State:__________________Zip Code:__________________
Voice Telephone Number: (______)____________________ Fax Number: (______)_______________________
Internet Mail Address: ________________________________________________________________________
Pro se applicants seeking to file documents electronically must be granted permission by the Judicial Officer to register
and file documents electronically in a particular case pursuant to LR 5.1 and LCrR 49.2
Date permission granted to register & file documents electronically: _______________ in case number: _________________
By submitting this registration form, the undersigned agrees to abide by all Court rules, orders and policies and procedures
governing the use of the electronic filing system. The undersigned also consents to receiving notice of filings pursuant to Fed.
R. Civ. P. 5(b) and 77(d) and Fed. R. Crim. P. 49(b)-(d) via the Court’s electronic filing system. The combination of user
id and password will serve as the signature of the pro se litigant filing the document(s). Users must protect the security of
their passwords and immediately notify the Court if they learn that their password has been compromised by an
unauthorized user.
_________________________________________
______________________________
Signature of Pro Se Applicant
Date
Submit completed Registration Form to:
Geri M. Smith, Clerk
United States District Court
Attention: Electronic Filing System Registration
801 West Superior Avenue
Cleveland, OH 44113-1830
Once your registration is complete, you will receive notification by email as to your user id and password needed to access the
system. Procedures for using the system will be available for downloading when you access the system via the Internet. You may
contact the Electronic Filing Help Desk in the Clerk's Office at 1-800-355-8498 if you have any questions concerning the registration
process or the use of the electronic filing system.
*************************************************************************************
The CM/ECF system also requires users to have a separate PACER id and password in order to view documents in the CM/ECF
system. PACER accounts can be established through the PACER Service Center:
PACER Service Center
P.O. Box 780549
San Antonio, TX 78278
800-676-6856
For further information on the support services provided by the PACER Service Center, please visit the PACER website at
For your information, the Judicial Conference of the United States has established a fee to be collected for access to PACER.
All registered individuals will be charged a user fee. Please refer to the PACER Service Center regarding fees.
Revised 05/26/15

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