govinfo:USCOURTS-caed-2_23-cv-01672-10

Plaintiff(s) 
V.
United States District Court 
 Eastern District of California
Case Number:
APPLICATION FOR PRO HAC VICE 
AND ORDER
Defendant(s)
Pursuant to Local Rule 180(b)(2) of the United States District Court for the Eastern District of California, 
hereby applies for permission to appear and participate as 
counsel in the above entitled action on behalf of the following party or parties:
On (date), I was admitted to practice and presently in good standing in the
 (court). A certificate of good standing from that court is 
submitted in conjunction with this application. I have not been disbarred or formally censured by a court of 
record or by a state bar association; and there are not disciplinary proceedings against me.
 I have / I have not concurrently or within the year preceding this application made a pro hac vice 
application to this court. (If you have made a pro hac vice application to this court within the last year, list 
the name and case number of each matter in which an application was made, the date of application and 
whether granted or denied.)
Date: Signature of Applicant: /s/
U.S. District Court – Pro Hac Vice Application 
Revised July 6, 2021
Page 1 
5/27/26

Pro Hac Vice Attorney 
Applicant's Name:
Law Firm Name:
Address:
City: State: Zip: 
Phone Number w/Area Code: 
City and State of Residence: 
Primary E-mail Address: 
Secondary E-mail Address: 
I hereby designate the following member of the Bar of this Court who is registered for ECF with whom the 
Court and opposing counsel may readily communicate regarding the conduct of the case and upon whom 
electronic notice shall also be served via the Court’s ECF system:
Local Counsel's Name:
Law Firm Name: 
Address: 
City: State: Zip: 
Phone Number w/Area Code: Bar # 
ORDER 
Dated:
U.S. District Court – Pro Hac Vice Application 
Revised July 6, 2021 
Page 2
June 9, 2026

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