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Pro Hac Application – ICWA
Pro Hac Application – ICWA
Pro Hac Application - ICWA
Application for Pro Hac Vice / Association of Counsel in Nevada State Courts.
Case Information
Name of Court
(Required)
Select One
First Judicial District Court
Second Judicial District Court
Third Judicial District Court
Fourth Judicial District Court
Fifth Judicial District Court
Sixth Judiclal District Court
Seventh Judicial District Court
Eighth Judicial District Court
Ninth Judicial District Court
Tenth Judicial District Court
Eleventh Judicial District Court
Tribe
Select One
BATTLE MOUNTAIN BAND COUNCIL
CARSON COLONY COMMUNITY COUNCIL
CONFEDERATED TRIBES OF GOSHUTE
DRESSLERVILLE COMMUNITY COUNCIL
DUCK VALLEY SHOSHONE-PAIUTE TRIBE
DUCKWATER SHOSHONE TRIBE
ELKO BAND COUNCIL
ELY SHOSHONE TRIBE
FALLON PAIUTE SHOSHONE TRIBE
FORT McDERMITT PAIUTE-SHOSHONE TRIBE
LAS VEGAS PAIUTE TRIBE
LOVELOCK PAIUTE TRIBE
MOAPA BAND OF PAIUTES
PYRAMID LAKE PAIUTE TRIBE
RENO-SPARKS INDIAN COLONY
SOUTH FORK BAND COUNCIL
STEWART COMMUNITY COUNCIL
SUMMIT LAKE PAIUTE TRIBE
TE-MOAK SHOSHONE TRIBE
TIMBISHA SHOSHONE TRIBE
WALKER RIVER PAIUTE TRIBE
WASHOE TRIBE OF NEVADA & CALIFORNIA
YERINGTON PAIUTE TRIBE
YOMBA SHOSHONE TRIBE
WELLS BAND COUNCIL
WOODFORDS COMMUNITY COUNCIL
Case No.
Plaintiff
(Required)
Defendant
Petitioner Information
Name - First, Middle, Last, Suffix
(Required)
Petitioner is an attorney at law and a member of the law firm: (enter firm name)
(Required)
Firm Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Telephone No. xxx-xxx-xxxx
(Required)
Petitioner's Email
(Required)
Petitioner has been retained personally or as a member of the above named law firm to provide legal representation in connection with the above-named matter by:
(Required)
Select all state(s) in which you are an attorney in good standing and regularly practice law. Hold ctrl key to select multiple states. The highlight lines may disappear but the data will be saved.
(Required)
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Upload Certificate(s) of Good Standing, from each state, issued within the past 30 days; do not include certificates from federal courts. If your certificate was emailed to you from your bar or Supreme Court, include the email.
(Required)
Max. file size: 100 MB.
List the court(s) and other state(s) to which you have been ADMITTED to practice AND the date of admission for each.
Is Petitioner currently suspended or disbarred in any court?
(Required)
No
Yes
Provide Details Below
Is Petitioner currently subject to any disciplinary proceeding by any organization with authority at law?
(Required)
No
Yes
Provide Details Below
Has Petitioner ever received discipline including, but not limited to, suspension or disbarment, by any organization with the authority to discipline attorneys at law? If yes, provide details below.
(Required)
No
Yes
Provide particulares to include court, discipline authority, brief statement of event(s).
Has Petitioner ever had any certificate or privilege to appear and practice before any regulatory administrative body suspended or revoked?
(Required)
No
Yes
Provide particulars e.g. date, administrative body, date of suspension or reinstatement.
Has Petitioner, either by resignation, withdrawal, or otherwise, ever terminated or attempted to terminate Petitioner's office as an attorney in order to avoid discipline, disbarment or suspension proceedings?
(Required)
No
Yes
Provide Details Below
Has Petitioner filed an application under Nevada SCR 42 in the past three years?
(Required)
No prior applications have been submitted in the past three years by petitioner.
One prior application has been filed.
Two prior applications have been filed.
Three prior applications have been filed.
Four prior applications have been filed.
Five prior applications have been filed.
Six or more. Attach exhibit for prior applications. Exhibit must Include Date of Application, Case No., Name of Court, and Status of Application i.e. Granted/Denied
If petitioner has filed more than five applications within the past three years, they must also submit an affidavit of special circumstances.
Application 1: Date of Application xx/xx/xxxx
(Required)
Application 1: Case No.
(Required)
Application 1: Name of Court (Select One)
(Required)
Select One
First Judicial District Court
Second Judicial District Court
Third Judicial District Court
Fourth Judicial District Court
Fifth Judicial District Court
Sixth Judicial District Court
Seventh Judicial District Court
Eighth Judicial District Court
Ninth Judicial District Court
Tenth Judicial District Court
Eleventh Judicial District Court
Administrative Body
Application 1: Was the Application Granted or Denied by the Court?
(Required)
Granted
Denied
Case settled/closed or party withdrew prior to admission being granted.
Application 2: Date of Application xx/xx/xxxx
(Required)
Application 2: Case No.
(Required)
Application 2: Name of Court (Select One)
(Required)
Select One
First Judicial District Court
Second Judicial District Court
Third Judicial District Court
Fourth Judicial District Court
Fifth Judicial District Court
Sixth Judicial District Court
Seventh Judicial District Court
Eighth Judicial District Court
Ninth Judicial District Court
Tenth Judicial District Court
Eleventh Judicial District Court
Administrative Body
Application 2: Was the Application Granted or Denied by the Court?
(Required)
Granted
Denied
Case settled/closed or party withdrew prior to admission being granted.
Application 3: Date of Application xx/xx/xxxx
(Required)
Application 3: Case No.
(Required)
Application 3: Name of Court (Select One)
(Required)
Select One
First Judicial District Court
Second Judicial District Court
Third Judicial District Court
Fourth Judicial District Court
Fifth Judicial District Court
Sixth Judicial District Court
Seventh Judicial District Court
Eighth Judicial District Court
Ninth Judicial District Court
Tenth Judicial District Court
Eleventh Judicial District Court
Administrative Body
Application 3: Was the Application Granted or Denied by the Court?
(Required)
Granted
Denied
Case settled/closed or party withdrew prior to admission being granted.
Application 4: Date of Application xx/xx/xxxx
(Required)
Application 4: Case No.
(Required)
Application 4: Name of Court (Select One)
(Required)
Select One
First Judicial District Court
Second Judicial District Court
Third Judicial District Court
Fourth Judicial District Court
Fifth Judicial District Court
Sixth Judicial District Court
Seventh Judicial District Court
Eighth Judicial District Court
Ninth Judicial District Court
Tenth Judicial District Court
Eleventh Judicial District Court
Administrative Body
Application 4: Was the Application Granted or Denied by the Court?
(Required)
Granted
Denied
Case settled/closed or party withdrew prior to admission being granted.
Application 5: Date of Application xx/xx/xxxx
(Required)
Application 5: Case No.
(Required)
Application 5: Name of Court (Select One)
(Required)
Select One
First Judicial District Court
Second Judicial District Court
Third Judicial District Court
Fourth Judicial District Court
Fifth Judicial District Court
Sixth Judicial District Court
Seventh Judicial District Court
Eighth Judicial District Court
Ninth Judicial District Court
Tenth Judicial District Court
Eleventh Judicial District Court
Administrative Body
Application 5: Was the Application Granted or Denied by the Court
(Required)
Granted
Denied
Case settled/closed or party withdrew prior to admission being granted.
Upload exhibit if Petitioner has six or more prior applications within the past three years.
Max. file size: 100 MB.
Nevada Counsel Information
Name - First, Middle, Last, Suffix
Nevada Counsel Bar No.
Firm Information
Firm Name
Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Telephone No. xxx-xxx-xxxx
Nevada Counsel Email
Petitioner agrees to comply with the provisions of Nevada SCR 42(3) and (13) and Petitioner consents to the jurisdiction of the courts and disciplinary boards of the State of Nevada in accordance with provisions as set forth in SCR 42(3) and (13). Petitioner respectfully requests that Petitioner be admitted to practice in the above-entitled court for the purposes of this matter only.
(Required)
I agree
Petitioner has disclosed in writing to the client that the applicant is not admitted to practice in this jurisdiction and that the client has consented to such representation.
(Required)
I agree
Petitioner Affirmations
(Required)
I am the Petitioner in the above-entitled matter.
I hereby swear and affirm under penalty of perjury that the assertions of this application are true.
I have received a copy of, read, and will adhere to the Nevada Creed of Professionalism and Civility available on the instruction page.
I have read Supreme Court Rule (SCR) 42 and meet all requirements contained therein.
I am not a licensee of the State Bar of Nevada.
I am not a resident of the state of Nevada.
I am not regularly employed as a lawyer in the state of Nevada.
I am not engaged in substantial business, professional, or other activities in the state of Nevada.
I am a member in good standing and eligible to practice before the bar of any jurisdiction of the United States.
I have associated a lawyer who is an active licensee in good standing of the State Bar of Nevada as counsel of record in this action or proceeding.
I have read the foregoing application and know the contents thereof; that the same is true of my own knowledge except as to those matters therein stated on information and belief; and as to the matter I believe them to be true.
I further certify that I am subject to the jurisdiction of the Courts and disciplinary boards of this state with respect to the law of this state governing the conduct of attorneys to the same extent as a member of the State Bar of Nevada.
I understand and shall comply with the standards of professional conduct required by members of the State Bar of Nevada;
I am subject to the disciplinary jurisdiction to the State Bar of Nevada with respect to any of my actions occurring in the course of such appearance.
The accompanying certificate(s) of standing are copies of original documents which are in my possession.
I understand the fee paid for this application is non-refundable.
Upload any additional documents here that you would like us to have.
Max. file size: 100 MB.
File
Max. file size: 100 MB.
I understand that by typing my name and clicking "Submit", I am electronically signing this document.
(Required)
I understand and agree.
Typed Signature
(Required)
Date Submitted
(Required)
MM slash DD slash YYYY