APPLICATION FOR SPECIAL ADMISSION UNDER RULE 14-804 SPECIAL ADMISSION EXCEPTION FOR MILITARY LAWYERS To apply for special admission under Rule 14-804, please send a complete application along with an application fee of $10.00 to The Utah State Bar at the address listed below. If you intend to continue practicing under this rule, you must renew your limited license every year during the Bar s annual licensing cycle beginning July 1 st. Utah State Bar Office of General Counsel 645 South 200 East Salt Lake City, Utah 84111 Your completed application must include: The $10.00 fee. Checks should be made payable to The Utah State Bar; Three page application form (form attached); Two Certificates of Good Moral Character (forms attached); An original Certificate of Good Standing from each jurisdiction in which you are admitted to practice law, and dated within 60 days preceding the filing of your application; and All forms must contain original signatures. photocopies or faxes are accepted. If you have questions, please contact the Assistant to the Bar s General Counsel, by e-mail: counselasst@utahbar.org or by telephone at (801) 297-7057.
APPLICATION FOR ADMISSION TO LIMITED PRACTICE UNDER RULE 14-804OF THE SUPREME COURT RULES OF PROFESSIONAL PRACTICE (Please Print or Type) Full Name: Rank First Middle Last Mailing Address: Street or P.O. Box Branch of Service: Commanding Officer: Rank First Middle Last Name of Unit: Street or P.O. Box Unit Phone: Fax Number: E-Mail Address (if any): Date of Birth: Date Graduated from Law School: Law School: Page 1
1. Name all jurisdictions and courts in which you have been admitted to practice law, including the date of admission and your current standing: Jurisdiction Date of Admission Current Standing Bar # 2. If you have used another name on any records of a law school, court, military branch, bar application, or other, list the name(s) and when/where used: 3. Have you ever applied for or taken the Bar Examination in this state?, If yes, when? Winter (yr) Summer (yr) and what were the results? 4. Have any proceedings ever been initiated regarding your moral character for admission to practice law in any jurisdiction in the United States or any other place in the world? If yes, provide full details on an attached sheet. 5. As an attorney or member of any profession or organization or holder of any office, have you ever been disbarred, suspended, reprimanded, censured, or otherwise discipline for professional misconduct by any jurisdiction or court? If yes, give full details on an attached sheet, accompanied with appropriate documentation. 6. Have any complaints, formal or informal, other than those listed above ever been made against you to the authority responsible for discipline in the jurisdictions or courts to which you have been admitted? If yes, give full details on an attached sheet, accompanied with appropriate documentation. Page 2
CERTIFICATION OF APPLICANT I,, certify under penalty of perjury under the laws of the State of Utah that I am the applicant above named; that I have read the Utah Rules of Professional Conduct adopted by the Supreme Court of the State of Utah and agree to abide by them and submit myself to the jurisdiction of that court and the courts of the State of Utah; that I have read the foregoing application and that the statements contained in it are full, true, correct; that I am a member in Good Standing in, and am a full time active duty military officer serving in the office of a Judge Advocate of the United States Armed Forces, located in the State of Utah, and will practice law according to the provisions Rule 14-804 exclusively as a military lawyer. DATED this day of, 20. City, State where signed Signature of Applicant AFFIDAVIT OF COMMANDING OFFICER is employed exclusively as a lawyer in the Office of a Judge Advocate of the United States Armed Forces. I will advise the Utah State Bar and the Utah Supreme Court of any change in status of this lawyer that may affect his or her right to practice under Rule 14-804, including but not limited to when the applicant military lawyer ends active military duty in the State of Utah. Certified to this day of, 20. Print Name Title City, State where signed Page 3
Certificate of Good Moral Character Lawyer I This is to certify that I,, am a member in good standing of the Bar of ; that I am and have been well acquainted with, an applicant under Rule 14-804 for limited admission to the Utah State Bar, since ; and that I believe this applicant is of good moral character and that I recommend his or her admission. Certified on this day of, 20. Signature Street Address
Certificate of Good Moral Character Lawyer II This is to certify that I,, am a member in good standing of the Bar of ; that I am and have been well acquainted with, an applicant under Rule 14-804 for limited admission to the Utah State Bar, since ; and that I believe this applicant is of good moral character and that I recommend his or her admission. Certified on this day of, 20. Signature Street Address 5