Form 1- Appendix Of Forms - Admission Instructions (Page 2 of 2) in pdf

Form 1- Appendix Of Forms - Admission Instructions Page 2

IN THE MATTER OF THE PETITION OF

_____________________________________________

(Please print/type your full name on the above line)

FOR ADMISSION TO PRACTICE IN

THE UNITED STATES COURT OF FEDERAL CLAIMS

TO THE CHIEF JUDGE AND JUDGES OF THE UNITED STATES COURT OF FEDERAL CLAIMS:

The petitioner,__________________________________________, respectfully shows this court:

That he/she is a resident of the city of_______________________, the state of_________________,

and that petitioner on the date of_______________________was duly licensed and admitted to practice as

an attorney at law in the _______________________________________(highest state court), and is now

a member of the bar thereof and in good standing.

WHEREFORE, said petitioner herein prays that he/she may be admitted to practice in the United

States Court of Federal Claims in accordance with the laws and rules applicable thereto.

I, ____________________________________________________________ DO SOLEMNLY

SWEAR (OR AFFIRM) THAT I WILL SUPPORT THE CONSTITUTION OF THE UNITED STATES AND

THAT I WILL CONDUCT MYSELF IN AN UPRIGHT MANNER AS AN ATTORNEY OF THIS COURT.

I declare (or certify, verify, or state) under penalty of perjury that the foregoing is true and correct.

Executed on (date) ______________________________. (28 U.S.C. §1746)

______________________________________

Signature

Address (including firm if applicable):

___________________________________________

Phone: ___________________________ Fax: _______________________

E-mail address: _________________________________

--------------------------------------------------------------------------------------------------------------------------------------

Attorney Pro Bono Appointment Registration Form for Pro Se Cases:

I am willing to be appointed counsel for pro se plaintiffs on a pro bono basis.

Form 1- Appendix Of Forms - Admission Instructions Page 2