UNITED STATES DISTRICT COURT 

DISTRICT OF OREGON 

CM/ECF Application Form 

Self-Represented Party (Non-prisoner) 

Case Name: LN V V Sub YA°'"" Y\: .d\ !:<) 

Case Number: 3: 111 - G \} .... 0 I ~8<0 

The United States District Court for the District of Oregon uses the federal judiciary' s 

Case Management/Electronic Case Files (CM/ECF) system to support electronic filing, service, 

and access to court records. The CM/ECF system contains the official court records of 

proceedings. (See Local Rule [LR] 100-5(d) available on the Court's website at 

ord.uscourts.gov.) The Court no longer maintains paper files. 

As a self-represented party, non-prisoner, you may ( 1) apply for a user account which 

will allow you to file documents electronically with the Court through the CM/ECF system or 

(2) consent to electronic service of documents upon you via e-mail from the CM/ECF system 

when documents are filed in your case. Each option is explained on the following pages, and 

you must mark on the application form on the next page the option for which you are applying. 

ANY REQUEST MUST BE APPROVED BY THE COURT BEFORE IT BECOMES 

EFFECTIVE. You will be notified by an order whether your application is approved. 

If this application is approved by the Court, you agree to abide by the requirements and 

conditions for the option you select as explained on the following pages. 

CAUTION: If you are in prison or are unable or unwilling to abide by any of 

the applicable requirements indicated, you should NOT submit this application. 

Answers to other questions you have may be found on the Court's internet site 

<ord.uscomts.gov>, or you may call the Clerk's Office (Portland: 503-326-8000; Eugene: 541-

431-4100; Medford: 541-608-8777). 

Note: Clerk's Office staff are prohibited from giving any type of legal advice regarding your 

case. 

Rev. May 2012 CM/ECF Application Form (Pro Se) 

USDC - Oregon 

Case 3:14-cv-01836-MO Document 61 Filed 06/18/15 Page 1 of 5
Case Name: WV If' 5.ili V'qMa. n j ~P" 

Case No.: 5: /4 -c_:v- ()f 83(o 

Name: 

l&(\ \ se.. s~~ "V\~ V\ ~ ~ W") 

(First, Middle Initial, Last) 

I request the following service: 

UNITED STATES DISTRICT COURT 

DISTRICT OF OREGON 

CM/ECF Application Form 

Self-Represented Party (Non-prisoner) 

Instructions: 

Read the accompanying information packet 

carefully before completing and submitting this 

form. 

Address: 

\3l)[pS Sw iDQ_l~ (}< J. 

&,A veNtn V\ 0 R 

q700S 

Option 1: CM/ECF user account registration for filing access 

(selection of this option automatically includes Option 2 below) 

0 Option 2: Consent to electronic service of filings and notice via CM/ECF pursuant to 

Fed. R. Civ. P. 5 

By signing this form, I agree to abide by the requirements and conditions for the option 

selected, as set forth in the application packet I received. 

Date: 

(p 2DJ5 

Mail or fax this page (and any requisite certifications) to: 

Portland Division 

Clerk, US District Court 

Attn: CM/ECF Register 

1000 SW Third Ave. 

Ste. 740 

Portland, OR 97204 

Fax: (503) 326-8010 

Rev. May 2012 

0 Eugene Division 

Clerk, US District Court 

Attn: CM/ECF Register 

405 East Eighth Ave. 

Eugene, OR 97401 

Fax: (541) 431-4109 

0 Medford Division 

Clerk, US District Court 

Attn: CM/ECF Register 

310 West Sixth St. 

Medford, OR 97501 

Fax: (541) 608-8779 

Court use only: 

Processed: ___ _ 

Test Message: __ _ 

Reg E-mail sent: __ 

App Docketed: __ 

CM/ECF Application Form (Pro Se) 

USDC - Oregon 

Case 3:14-cv-01836-MO Document 61 Filed 06/18/15 Page 2 of 5
CMIECF Registration Application Options 

Option 1: CM/ECF User Account Registration 

This option is a request for privileges to allow you to become a Registered User so you may file 

documents electronically in your case and receive service of electronically filed documents via CM/ECF. 

The CM/ECF system must be used in conjunction with the Federal Rules of Civil Procedure, the 

Local Rules of Civil Practice, and the administrative orders and policies of the United States District 

Court for the District of Oregon. 

In order to file documents electronically, you will need the following: 

A personal computer running either the Windows or Apple operating platforms; 

• Internet access through an Internet service provider using Point to Point Protocol (PPP); 

• A compatible browser' that supports 128 bit encryption and has Javascript and cookies 

enabled; 

• A Portable Document Format (PDF)-compatible word processor such as Microsoft Word 

or Corel WordPerfect; 

• Software to convert documents from a word processor format to PDF format, such as 

Adobe Acrobat PDF Writer; 

• Software to read PDF documents (Adobe Acrobat Reader is available at no cost); 

• Access to a flatbed scanner with sheet feeder if paper documents need to be imaged 

before being uploaded into the system; 

An e-mail account; and 

A Public Access to Court Electronic Records (PACER) Service account. The Judicial 

Conference of the United States has approved a schedule of fees to be charged for 

electronic records access by users of the CM/ECF system. This requires a PACER 

account in addition to a CM/ECF user account. Registered users get "one free look" at 

documents when they receive the initial notice of electronic filing (NEF) by e-mail; at 

that time you can download and save the electronic file at no charge. However, 

subsequent views of filed documents will result in a charge to you. Contact the PACER 

Service Center at <pacer.psc.uscourts.gov> or call the Pacer Service Center at 800-676-

6856 or (210) 301-6440. See the court's website at <ord.uscourts.gov> for additional 

information about this requirement. 

• You are also required to complete the electronic filing tutorials available on the Court's 

website at <ord.uscourts.gov> and submit the certificates of completion with this 

application. 

If you are approved for CM/ECF user registration, you will be issued a participant's login and 

password. The use of this login and password constitutes your "signature" pursuant to Fed. R. Civ. P. 11 

on all submissions made via the CM/ECF system. Your documents must also conform with LR 11-1, and 

the signature line on the documents must reflect your signature as "s/ your typed name." 

1 CM/ECF has been tested for use with Mozilla Firefox and Internet Explorer version 7 or 8. Safari, Opera, 

and Google Chrome have not been tested for use with CM/ECF. 

Rev. May 2012 CM/ECF Application Form (Pro Se) 

USDC - Oregon 

Case 3:14-cv-01836-MO Document 61 Filed 06/18/15 Page 3 of 5
You must take appropriate steps to protect your CM/ECF login and password. If the login and 

password become compromised, the Court must be immediately notified. 

NOTE: Registration as a CM/ECF user for filing purposes under this option also 

constitutes your consent to receive service by electronic means as substitute for service pursuant to 

Fed. R. Civ. P. 5(b)(2)(E) and LR 100-8. You will NOT receive paper copies of any documents filed 

by other parties or the Court in your case; all documents will be in electronic format only. 

If you are not approved for CM/ECF registration or if you choose not to apply for this option, you 

must deliver to the Clerk's Office paper copies of documents required or permitted to be filed in this 

Court for docketing in the record of the case. You must also serve paper copies of your documents on the 

opposing parties in your case. 

Option 2: Consent to electronic service of filings and notice via CM/ECF 

This option allows you to request to receive electronic notice via e-mail when filings are made in 

your case. You are consenting that such notice constitutes service pursuant to Fed. R. Civ. P. 5(b)(2)(E) 

of such filings upon you as noted above; you will not receive paper copies of documents from the other 

party. This option does NOT allow you to file documents electronically with the Court. You must 

submit your filings in paper form and serve paper copies of your documents on the opposing parties in the 

case. 

This option also requires a PACER Service account (as explained above) and allows viewing 

access to the documents in your case. PACER issues a separate login and password for this purpose. 

You will not receive a CM/ECF login from this Court. 

You must maintain a valid e-mail account and are responsible for checking it regularly to be 

aware of court filings. 

Rev. May 2012 CM/ECF Application Form (Pro Se) 

USDC - Oregon 

Case 3:14-cv-01836-MO Document 61 Filed 06/18/15 Page 4 of 5
CERTIFICATE OF COMPLETION 

Upon submission of this Certificate of Completion, I, 

(please print your name below) 

S-€_, yY\. 

C> 

certify that I have reviewed and understand the U.S. District Court, Di

Oregon Tutorial on Preparing Documents for Electronic Filing

Dated this } day of :J11 Y\ e, , 20 \ 5 . 

Case 3:14-cv-01836-MO Document 61 Filed 06/18/15 Page 5 of 5