Form B 320 - Notice Provider Application - United States Courts Bankruptcy Courts Page 3
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3B 320
(01/08)
U
S
C
B
C
NITED
TATES
OURTS
ANKRUPTCY
OURTS
Notice Provider Application
Pursuant to Fed. R. Bankr. P. 2002(g)(4) and 9001(9)
The Applicant should list work provided in any Bankruptcy Court district:
Bankruptcy Court
District Name
District Name
District Name
District Name
District Name
Authorization
I am an authorized officer of the named applicant company. I declare, under penalty of perjury, that I am
duly authorized to affirm the information submitted above.
Name
Signature
Corporate Officer Title
Date
Please fax the completed application to the Administrative Office of the United States Courts,
Bankruptcy Court Administration Division at (202) 502-1511. A list of approved notice providers will be
posted on the Judiciary’s public website at
If you have any questions regarding the status of
your application, please contact the Bankruptcy Court Administration Division at (202) 502-1540.
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