1/28/2020 SCC
UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT
APPEARANCE OF COUNSEL FORM
BAR ADMISSION & ECF REGISTRATION: If you have not been admitted to practice before the Fourth Circuit,
you must complete and return an Application for Admission before filing this form. If you were admitted to practice
under a different name than you are now using, you must include your former name when completing this form so that we
can locate you on the attorney roll. Electronic filing by counsel is required in all Fourth Circuit cases. If you have not
registered as a Fourth Circuit ECF Filer, please complete the required steps at Register for eFiling.
THE CLERK WILL ENTER MY APPEARANCE IN APPEAL NO. ______________________________ as
[ ]Retained [ ]Court-appointed(CJA) [ ]CJA associate [ ]Court-assigned(non-CJA) [ ]Federal Defender
[ ]Pro Bono [ ]Government
COUNSEL FOR: _______________________________________________________________________
__________________________________________________________________________________as the
(party name)
appellant(s)
appellee(s)
petitioner(s)
respondent(s) amicus curiae
intervenor(s) movant(s)
______________________________________
(signature)
Please compare your information below with your information on PACER. Any updates or changes must be
made through PACER’s Manage My Account.
________________________________________
_______________
Name (printed or typed)
Voice Phone
________________________________________
_______________
Firm Name (if applicable)
Fax Number
________________________________________
________________________________________
_________________________________
Address
E-mail address (print or type)
CERTIFICATE OF SERVICE (required for parties served outside CM/ECF): I certify that this document was
served on ____________ by [ ] personal delivery; [ ] mail; [ ] third-party commercial carrier; or [ ] email (with
written consent) on the following persons at the addresses or email addresses shown:
______________________________
____________________________
Signature
Date
USCA4 Appeal: 21-2218 Doc: 23 Filed: 12/10/2021 Pg: 1 of 1