__[Attorney name]__
__[Address]__
__[Telephone number]__
Attorney for __[e.g., Plaintiff]__, __[name]__
_ _ _ _ _ _ Court, County of _ _ _ _ _ _
__[_ _ _ _ _ _ District]__
_ _ _ _ _ _ _ _ _ _ _ _ _ ) No. _ _ _ _ _ _
Plaintiff(s))
vs. )APPLICATION OF __[NAME]__ TO
)APPEAR AS COUNSEL PRO HAC VICE;
_ _ _ _ _ _ _ _ _ _ _ _ _ ) NOTICE OF HEARING
Defendant(s))
_________________________ ) Hearing: __[date; time]__
Department: _ _ _ _ _ _
Trial Date: __[if set]__
PLEASE TAKE NOTICE that at the above time and place the
undersigned applicant will apply for permission to appear as
counsel pro hac vice in this matter.
APPLICATION
__[Name]__ certifies:
1. I reside at __[address]__ and maintain my office at
__[address]__.
2. I have been admitted to practice before __[list
court(s) and date(s) of admission]__. I am a member in good
standing in __[this/these]__ court(s) and am not currently
suspended or disbarred in any court.
[Add if appropriate]
3. I have filed application to appear as counsel pro hac
vice in California in the preceding two years as follows:
__[List each application, including title of court and cause,
date of application, and whether or not granted]__.
I request permission of the Court to appear as counsel pro
hac vice in this matter in association with the attorney of
record who is __[name, address, and telephone number of active
member of State Bar of California]__.
I certify under penalty of perjury under the laws of the
State of California that the foregoing is true and correct.
Date: _ _ _ _ _ _ [Signature]
__[Typed name]__
Attorney for _ _ _ _ _ _ _ _ _ _
Return to Table of Contents for
Legal Forms : Set Two