`
`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:
`
`Federal Circuit
`
`July 27, 2017
`
`
`
`Case 6:21-cv-00263-ADA Document 13 Filed 04/14/21 Page 2 of 4
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`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 6:21-cv-00263-ADA Document 13 Filed 04/14/21 Page 3 of 4
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`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
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`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 $(cid:20)(cid:19)(cid:19).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]
`
`
`
`Case 6:21-cv-00263-ADA Document 13 Filed 04/14/21 Page 4 of 4
`
` UNITED STATES DISTRICT COURT
`WESTERN DISTRICT OF TEXAS
`
`vs.
`
`Case No.:
`
`ORDER
`
`BE IT REMEMBERED on this day, there was presented to the Court the Motion for
`
`Admission Pro Hac Vice filed by , counsel for
`
` , and the Court, having reviewed the motion, enters
`
`the following order:
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`IT IS ORDERED that the Motion for Admission Pro Hac Vice is GRANTED, and
`
` may appear on behalf of
`
` in the above case.
`
`IT IS FURTHER ORDERED that , if he/she
`
`has not already done so, shall immediately tender the amount of $100.00, made payable to: Clerk, U.S.
`
`District Court, in compliance with Local Court Rule AT-l(f)(2).
`
`SIGNED this the day of , 20 .
`
`
`
`
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