From the 'Lectric Law Library
Application To Appear As Counsel Pro Hac Vice;
Notice Of Hearing Form

__[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 _ _ _ _ _ _ _ _ _ _

[The application must be verified and may be in the form of a certification
or declaration under penalty of perjury. Service by mail should be in
accordance with CCP §1013a. The State Bar should be served at its Los
Angeles office. Ten days notice of the hearing is required unless the court
orders a shorter time. Cal Rules of Ct §983(b).] 

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[Last Revised 3/02]