This form is used to register for an account on the Northern District of Ohio Case Electronic Filing System (the system). Registered attorneys will have privileges to electronically submit and view the electronic docket sheets and documents. By registering, attorneys consent to receiving electronic notice of filings through the system. You must also register here for a PACER account. Completion of all the following fields is required for registration, incomplete registrations will not be processed: Indicate CM/ECF System applying for * Civil/Criminal Maritime Asbestos Both Electronic Filing Systems Prefix Mr Mrs Ms First Name * Middle Name Last Name * Generation Jr Sr II III IV Highest State Court Admitted * Bar ID Number * Are you currently in good standing * Yes No Firm Name Business Address (Street, City, Zip) * Have you relocated to this address within the past year * Yes No Phone Number * Fax Number Email Address * Additional Email Addresses Attorneys seeking to file documents electronically must be admitted to practice in the United States District Court for the Northern District of Ohio pursuant to LR 83.5 and L CrR 57.5 - Date admitted to practice in the USDC NDOH If you are not admitted to practice in this court, please complete which applies: Attorney for the United States Yes No If you answered yes to Attorney for the United States, Date Applicant's Personal Statement & Oath submitted pursuant to LR 83.5(k) & LCrR 57.5(k) If admitted pro hac vice: Date motion for pro hac vice granted In case number Pro hac vice admission fee receipt number If attorney of record in MDL action, indicate case number A PACER account is required to view documents on the system. For information regarding PACER call 1-800-676-6856 or visit the website at www.pacer.psc.uscourts.gov By submitting this registration form, the undersigned agrees to abide by all Court rules, orders and policies and procedures governing the use of the electronic filing system. The undersigned also consents to receiving notice of filings pursuant to Fed. R. Civ. P. 5(b) and 77(d) and Fed. R. Crim.P.49(b)-(d) via the Court's electronic filing system. The combination of user id and password will serve as the signature of the attorney filing the documents. Attorneys must protect the security of their passwords and immediately notify the court if they learn that their password has been compromised by an unauthorized user. Once your registration is complete, you will receive notification by email of your user id and password needed to access the system. Procedures for using the system will be available for downloading when you access the system via the Internet. You may contact the Electronic Filing Help Desk in the Clerks Office at 1-800-355-8498 if you have any questions concerning the registration process or the use of the electronic filing system.