Petition For Admission
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Electronic 06/15
PETITION FOR ADMISSION
(Local Civil Rule 83.1/Criminal Rule 57.1)
UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF MICHIGAN
1.
Name: ____________________________________________________________________
FIRST / MIDDLE / LAST
2.
Firm Name:
Business Address:
ROOM / SUITE / FLOOR / BUILDING
STREET ADDRESS
CITY/ STATE / ZIP
Business Telephone Number:
3.
Identify all states (including the District of Columbia) in which you have been admitted to
practice before the state's highest court, the date of admission, and whether you are in active
status and good standing in that jurisdiction. If you are not in active status and good
standing, explain on an attached sheet.
Jurisdiction
Date
Active Status &
Bar Number
Good Standing?
1. _______________________
____________
_______
__________
2. _______________________
____________
_______
__________
3. _______________________
____________
_______
__________
4. _______________________
____________
_______
__________
5. _______________________
____________
_______
__________
6. _______________________
____________
_______
__________
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Parent category: Legal