Application For Admission Pro Hac Vice Form printable pdf download

Application For Admission Pro Hac Vice Form

UNITED STATES DISTRICT COURT

District of Nebraska

APPLICATION FOR ADMISSION PRO HAC VICE

___________________________, Plaintiff,

Case No: ____________________

Appearing on behalf of: __________

________________________________, Defendant.

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 for this case only.

DATED this ____ day of __________, 20__.

____________________________________

(Deputy Clerk)

COPIES MAILED ON _______________________________

Last update 06/06/16

Application For Admission Pro Hac Vice Form