Application For Admission To Practice Form printable pdf download

Application For Admission To Practice Form

UNITED STATES DISTRICT COURT

District of Nebraska

APPLICATION FOR ADMISSION TO PRACTICE

$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

The $181.00 filing fee is waived for federal agency attorneys.

Application For Admission To Practice Form