U.S. District Court – Oregon Application for Special Admission – Pro Hac Vice

[Rev. /201] Page 1 of 4 

UNITED STATES DISTRICT COURT 

DISTRICT OF OREGON 

Case No.: ________________________

Plaintiff(s),

v.

APPLICATION FOR SPECIAL 

ADMISSION – PRO HAC VICE

Defendant(s). 

Application for Pro Hac Vice Admission and CM/ECF Registration 

Attorney _________________________________ requests special admission pro hac 

vice to the Bar of the United States District Court for the District of Oregon in the abovecaptioned case for the purposes of representing the following party(s): 

______________________________________________________________________________ 

In support of this application, I certify that: 1) I am an active member in good standing 

with the _____________ State Bar; and 2) that I have read and am familiar with the Federal 

Rules of Evidence, the Federal Rules of Civil and Criminal Procedure, the Local Rules of this 

Court, and this Court's Statement of Professionalism. 

I understand that my admission to the Bar of the United States District Court for the 

District of Oregon is solely for the purpose of litigating in the above matter and will be 

terminated upon the conclusion of the matter. 

(1) PERSONAL DATA:

Name:

(Last Name) (First Name) (MI) (Suffix)

Agency/firm affiliation: 

Mailing address: 

City: State:___________ Zip: 

Phone number: Fax number: 

Business e-mail address: 

15-cv-01857-SI

Gregory S. Dovel

Lori Wakefield

California

Dovel Gregory S

Dovel & Luner LLP

201 Santa Monica Blvd., Ste. 600

Santa Monica CA 90401

(310) 656-7066 (310) 656-7069

greg@dovel.com

LORI WAKEFIELD

VISALUS, INC.,

Case 3:15-cv-01857-SI Document 160 Filed 01/10/19 Page 1 of 5
U.S. District Court – Oregon Application for Special Admission – Pro Hac Vice

[Rev. /201] Page 2 of 4 

(2) BAR ADMISSION INFORMATION:

(a) State bar admission(s), date(s) of admission, and bar number(s):

__________________________________________________________

__________________________________________________________

(b) Other federal court admission(s) and date(s) of admission:

__________________________________________________________

__________________________________________________________

(3) CERTIFICATION OF DISCIPLINARY ACTIONS:

I am not now, nor have I ever been subject to any disciplinary action by any

state or federal bar association.

I am now or have been subject to disciplinary action by a state or federal bar 

association. (See attached letter of explanation.) 

(4) CERTIFICATION OF PROFESSIONAL LIABILITY INSURANCE:

Pursuant to LR 83-3, I have professional liability insurance, or financial

responsibility equivalent to liability insurance, that meets the insurance

requirements of the Oregon State Bar for attorneys practicing in this District,

and that will apply and remain in force for the duration of the case, including

any appeal proceedings.

(5) CM/ECF REGISTRATION:

I acknowledge that I will become a registered user of the Court's case

management and electronic case filing system (CM/ECF) upon approval of

this application, and I ZLOOUHFHLYH electronic service pursuant to Fed. R. Civ. P.

5(b)(2)(E) and the Local Rules of the District of Oregon.

Certification of Attorney Seeking Pro Hac Vice Admission: I have read and understand the 

requirements of LR 83-3, and I certify that the above information is true and correct. 

DATED: ____________________________. 

____________________________________ 

(Signature) 

California Bar, 07/26/1988, Bar No. 135387

See attached.

01/08/2019

/s/ Gregory S. Dovel

✔

Case 3:15-cv-01857-SI Document 160 Filed 01/10/19 Page 2 of 5
U.S. District Court – Oregon Application for Special Admission – Pro Hac Vice

[Rev. /201] Page 3 of 4 

REQUIREMENT TO ASSOCIATE WITH LOCAL COUNSEL: 

LR 83-3(a)(1) requires applicants for pro hac vice admission to associate with local counsel, 

unless requesting a waiver of the requirement under LR 45-1. 

To request a waiver of the requirement to associate with local counsel under LR 45-1, check the 

following box: 

 I seek admission for the limited purpose of filing a motion related to a subpoena that this

Court did not issue. Pursuant to LR 45-1(b), I request a waiver of the LR 83-3(a)(1)

requirement to associate with local counsel and therefore do not include a certification

from local counsel with this application.

To associate with local counsel, complete the following section and obtain the signature of local 

counsel. 

Name: 

(Last Name) (First Name) (MI) (Suffix)

OSB number: ___________________________ 

Agency/firm affiliation: 

Mailing address: 

City: State:___________ Zip: 

Phone number: Fax number: 

Business e-mail address: 

CERTIFICATION OF ASSOCIATE LOCAL COUNSEL:

I certify that I am a member in good standing of the bar of this Court, that I have read and 

understand the requirements of LR 83-3, and that I will serve as designated local counsel in case 

number _______________________. 

DATED: ______________________________. 

________________________________________ 

(Signature of Local Counsel) 

Kocher Scott F

015088

Forum Law Group LLC

811 SW Naito Parkway, Suite 420

Portland OR 97204

(503) 445-2120 (503) 445-2120

scott@forumlawgroup.com

15-cv-01857

January 10, 2019

s/Scott F. Kocher

Case 3:15-cv-01857-SI Document 160 Filed 01/10/19 Page 3 of 5
U.S. District Court – Oregon Application for Special Admission – Pro Hac Vice

[Rev. /201] Page 4 of 4 

COURT ACTION 

Application for pro hac vice admission by _________________________ in case number: 

___________________ is hereby: 

 Approved subject to payment of fees.

 Denied.

DATED: ________________________________. 

_______________________________________ 

Judge 

15-cv-01857-SI

Gregory S. Dovel

Case 3:15-cv-01857-SI Document 160 Filed 01/10/19 Page 4 of 5
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