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STATE OF
WISCONSIN,
* Please select a court of appearance.
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Application for
Pro Hac Vice Admission
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I declare under penalty of perjury:
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1. That I seek to appear pro hac vice in order to represent
in the above-captioned matter;
* Please enter a name.
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2. That I am admitted to practice law in the highest court(s) of
the state(s) or country(ies) of
;
* Please enter courts admitted.
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3. That there are no disciplinary complaints filed against me for
violation of the rules of those courts (if so, please explain):
;
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4. That I am not suspended or disbarred from practice for disciplinary
reasons or reason of medical incapacity in any jurisdiction (if yes, please explain):
;
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5. That I am associated with Attorney
,
* Sponsoring Attorney Name
State Bar No.
* Sponsoring Attorney Number, an active member of the
State Bar of Wisconsin (name the member of the State Bar of Wisconsin and provide
his/her Member Number);
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6. That I do not practice or hold out to practice law in the State
of Wisconsin;
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7. That I acknowledge the jurisdiction of the courts of the State
of Wisconsin over my professional conduct, and I agree to abide by the rules of
the relevant division of the Circuit Court of the State of Wisconsin, the Wisconsin
Court of Appeals, the Wisconsin Supreme Court, and the Rules of Professional Conduct
for Attorneys, if I am admitted pro hac vice;
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8. That I have complied fully with SCR Rule 10.03 (4);
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9. That I am applying for admission pro hac vice for the following
reasons:
* Please enter your reasons for this application.
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I have applied for admission pro hac vice in the courts of the State of
Wisconsin
times previously in this calendar year.
* Please select a number.
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I attach here too evidence of my payment or prior payment of the pro hac vice fee.
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Signature of Attorney
* Signature of Attorney is required.
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Phone Number
* Your phone number needs to be in format: XXX-XXX-XXXX
* Please enter your phone number.
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Name Printed
* Please enter your name.
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Email Address
* Please enter your email address.
* Please enter your email address in format: youremail@example.com
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Address of Principal Office
Address 1:
* Please enter your address.
& is an invalid chararcter
Address 2 (Optional):
& is an invalid chararcter
City:
* Please enter your city.
State/Province:
Zip Code:
* US Zip Code Invalid Format
* Canadian Zip Code Invalid Format
* Please enter your zip code.
Country:
* Please enter your country.
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