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Get NJ CN: 11773 (PHV-13) 2017

O. Box 961 Trenton NJ 08625-0961 2017 ASSESSMENT 212. 00 The fee is assessed once per calendar year per attorney. Docket Judge s Name Questions Please contact the NJ Lawyers Fund s Pro Hac Vice Unit at 609 815-3035. Save Clear Print Pro Hac Vice Admission in New Jersey Rules 1 21-2 a 1 20-1 b 1 28-2 1 28B-1 e Please submit one check for each attorney payable to NJ Lawyers Fund for Client Protection Mail to NJ Lawyers Fund P. Fees are not prorated. Full payment is required for the calendar year in which the Order admitting is entered. Information to Be Submitted With Payment Pro Hac Vice Attorney Name Last First Middle Title Date of Birth Sex Jurisdiction Where First Admitted To Any U.S. Bar Year Admitted Male Female Have You Ever Been Admitted in New Jersey in any of the Following Categories Plenary NJ License Multi-Jurisdictional Practitioner In-House Counsel Firm Name Foreign Legal Consultant Telephone Address City State Zip e-mail Sponsoring New Jersey Attorney - Enclose a copy of the signed Court Order. If it is not yet available provide an unsigned copy or the following information send a signed copy when it becomes available. Attorneys admitted for additional cases within the calendar year should submit the appropriate paperwork but no additional payment is required. If a case continues into the next year a fee for that year will be assessed. An attorney s appearance continues until either the matter is concluded there is a substitution of counsel or the filing of notice of withdrawal with the court.

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