UNITED STATES DISTRICT COURT

WESTERN DISTRICT OF TEXAS

vs. Case No.:

MOTION FOR ADMISSION PRO HAC VICE

TO THE HONORABLE JUDGE OF SAID COURT:

Comes now , applicant herein, and

moves this Court to grant admission to the United States District Court for the Western District of

Texas pro hac vice to represent in this case, and

would respectfully show the Court as follows: 

1. Applicant is an attorney and a member of the law firm (or practices under the name of) 

 with offices at: 

Mailing address: 

City, State, Zip Code: 

Telephone: Facsimile: 

2. Since , Applicant has been and presently is a

member of and in good standing with the Bar of the State of . 

Applicant's bar license number is .

3. Applicant has been admitted to practice before the following courts:

Court: Admission date:

 

Case 6:20-cv-00507-ADA Document 6 Filed 06/10/20 Page 1 of 4
4. Applicant is presently a member in good standing of the bars of the courts listed above,

except as provided below (list any court named in the preceding paragraph before which

Applicant is no longer admitted to practice):

5. I have have not previously applied to Appear Pro Hac Vice in this district

court in Case[s]:

Number: on the day of , .

Number: on the day of , . 

Number: on the day of , . 

6. Applicant has never been subject to grievance proceedings or involuntary removal

proceedings while a member of the bar of any state or federal court, except as

provided:

7. Applicant has not been charged, arrested, or convicted of a criminal offense or offenses,

except as provided below (omit minor traffic offenses):

8. Applicant has read and is familiar with the Local Rules of the Western District of Texas

and will comply with the standards of practice set out therein.

Case 6:20-cv-00507-ADA Document 6 Filed 06/10/20 Page 2 of 4
9. Applicant will file an Application for Admission to Practice before the United States

District Court for the Western District of Texas, if so requested; or Applicant has

co-counsel in this case who is admitted to practice before the United States District

Court for the Western District of Texas.

Co-counsel: 

Mailing address: 

City, State, Zip Code: 

Telephone: 

Should the Court grant applicant's motion, Applicant shall tender the amount of $.00 pro hac

vice fee in compliance with Local Court Rule AT-l(f)(2) [checks made payable to: Clerk, U.S. District

Court].

Wherefore, Applicant prays that this Court enter an order permitting the admission of

 to the Western District of Texas pro hac vice for this case only.

Respectfully submitted,

 

[printed name of Applicant]

 

[signature of Applicant]

CERTIFICATE OF SERVICE

I hereby certify that I have served a true and correct copy of this motion upon each attorney of

record and the original upon the Clerk of Court on this the day of , .

 

[printed name of Applicant]

 

[signature of Applicant]

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ATTACHMENT A

COURT ADMISSION DATE BAR NUMBER

California 6/14/1991 153441

Washington 11/25/1992 22355

Alaska 11/14/1991 9111086

U.S. Supreme Court 06/02/2003

U.S. Court of Appeals for the Federal Circuit 01/15/2003

U.S. Court of Appeals for the Ninth Circuit 04/16/1993

U.S. District Court, Central District of California 04/16/1993

U.S. District Court, Northern District of California 05/19/2003

U.S. District Court, Eastern District of California 05/19/2003

U.S. District Court, Southern District of California

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