Application For Admission To Practice Form

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UNITED STATES DISTRICT COURT
District of Nebraska
APPLICATION FOR ADMISSION TO PRACTICE
1
$181.00
Provide case number if admission requested by court: _____________________
Appearing on behalf of: _________________________________
I, ______________________________________, do hereby certify that I have been enrolled as a
member of the Bar of the Supreme Court of ______________________________ and I now desire to
be enrolled as a member of the Bar of the United States District Court for the District of Nebraska.
___________________________
(Bar Code or Number, if applicable)
________________________________________ (Law Firm or Federal Agency)
________________________________________ (Mailing Address)
________________________________________ (City, State, Zip)
________________________________________ (Telephone/Fax Number)
I, ____________________, swear, affirm, or acknowledge that as an officer of the United States
District Court for the District of Nebraska, I will demean myself faithfully, uprightly, and according to
law; and that I will support, uphold, and defend the Constitution of the United States of America.
DATED this ____ day of ______________________, 20__.
_________________________________________________
(Signature of Applicant)
(Original signature required when submitted in paper)
=========================================================================
IT IS ORDERED: Applicant is hereby admitted to practice as an attorney and counselor at law in the
United States District Court for the District of Nebraska.
DATED this ____ day of __________, 20__.
__________________________________________________
(Deputy Clerk)
Last update 12/01/16
1
The $181.00 filing fee is waived for federal agency attorneys.

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