Attorney Registration Form For Email Notification Only


United States District Court
for the Southern District of West Virginia
Attorney Registration Form for E-mail Notification Only
I am an attorney appearing in U.S. District Court for the Southern District of West Virginia. I do not
wish to apply for a login for the Electronic Case Filing system. I do, however, wish to receive e-mail
notification of case activity by way of Notice of Electronic Filing in cases in which I am counsel.
By completing this authorization form, I hereby consent to accept service by e-mail notification of all
documents (except summons and complaint, discovery materials and Rule 26 disclosures) and waive my right
to personal service or service by first class mail pursuant to F. R. Civ. P. 5(b)(2)(D).
Full Name : __________________________________________________________________________
Attorney Bar Number and State: __________________________________________________________
Last 4 digits of Social Security Number: ____________________________________________________
Firm Name: __________________________________________________________________________
Firm Mailing Address: _________________________________________________________________
Firm Phone Number: __________________________
Firm FAX Number: _______________________
Internet E-mail Address: ________________________________________________________________
Does your e-mail software support HTML messages?
I hereby authorize the Clerk for the U.S. District Court for the Southern District of West Virginia to
add my e-mail address to all active cases for which I have met the visiting attorneys qualifications as set forth
in the Local Rules of this Court.
Attorney Signature
Return completed form to:
United States District Court
Southern District of West Virginia
ATTN: CM/ECF E-mail Authorization
300 Virginia Street, East
Room 2400
Charleston, WV 25301


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