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Next Previous CIVIL RULE - APPENDIX F  
 
IN THE DISTRICT COURT OF JOHNSON COUNTY, KANSAS
CIVIL COURT DEPARTMENT
__________________________________
Plaintiff Case No.______________
v. Division ______________
__________________________________ KSA Chapter ______________
Defendant      
               
MOTION TO ADMIT OUT-OF-STATE ATTORNEY
PRO HAC VICE FOR THIS CASE
               
     COMES NOW_____________________________ , a Kansas-licensed attorney in good standing and of record as counsel for ___________________________(party) in the caption case, and hereby moves the court for admission of ________________________, an attorney licensed in ______________________, PRO HAC VICE for purposes of this case only. In support of the motion, the undersigned submits the non-refundable fee, together with the verified application of ___________________________, which the undersigned has reviewed. As the moving attorney, I hereby acknowledge my obligation to remain actively engaged in the conduct of the case, attend every hearing, and sign every pleading, document, brief, motion and other papers filed in this case on behalf of our client.
               
____________________________________        
(Signature)        
         
____________________________________        
(Kansas Attorney - Typed or Printed)        
         
____________________________________        
(Kansas Bar Registration No.)        
         
____________________________________        
(Business Address)        
         
____________________________________        
         
____________________________________        
(City) (State) (Zip)        
         
____________________________________        
(Business Telephone Number)        
         
____________________________________        
(E-Mail Address)
               
CERTIFICATE OF SERVICE
(Include a signed certificate showing service of the motion and verified application upon all other counsel of record in the case and upon the out-of-state attorney’s client.)

 
IN THE DISTRICT COURT OF JOHNSON COUNTY, KANSAS
CIVIL COURT DEPARTMENT
__________________________________
Plaintiff Case No.______________
v. Division ______________
__________________________________ KSA Chapter ______________
Defendant      
               
VERIFIED APPLICATION OF AN OUT-OF-STATE ATTORNEY
FOR ADMISSION PRO HAC VICE TO PRACTICE IN THE CAPTIONED CASE
               
_________________________ (Name of Non-Kansas Attorney), an attorney not licensed to practice in Kansas, moves this court, under Supreme Court Rule 116, for its order allowing the outof- state attorney to practice in this court for the professional business and purpose of this case only, to represent the following party or parties:_____________________________________________________, a _______________________ (designation of the party) in this case.

_____________________________ (Name of Kansas-licensed Attorney), an attorney who is regularly engaged in the practice of law in Kansas, and who is in good standing under all the applicable rules of the Supreme Court of the State of Kansas, moved for my admission pro hac vice. Said attorney shall be actively engaged in the conduct of the case; shall sign all pleadings, documents, and briefs; and shall be present throughout all court or administrative appearances.

In support, the applicant shows the court that he/she is regularly admitted to the following bars and/or courts of record: ____________________________________(show all States and other jurisdictions where you are admitted to practice law); is regularly engaged in the practice of law in each such jurisdiction(s); is in good standing pursuant to the rules of the highest appellate court of such jurisdiction(s); and is not currently, nor has ever been the subject of a disciplinary action or a current disciplinary action under investigation, including but not limited to suspension or disbarment (if otherwise, please provide a detailed description of the nature and status of the action of investigation, as well as the address of the disciplinary authority in charge).

The applicant was granted permission previously to appear PRO HAC VICE in the State of Kansas within the past twelve months; Case Name: ____________________________________, Case Number: _____________, Court Where Granted: ___________________________________. (List all such admissions, if any)

__________________________(applicant’s name), acknowledges that he/she will be held to the standard of conduct of the State of Kansas, the Kansas Rules of Professional Conduct, and will be subject to the orders of, and amenable to disciplinary action by, the courts and administrative tribunals of the State of Kansas. The out-of-state attorney has sworn to and signed the Out-of-State Attorney’s Oath, which is attached hereto.

This application, the statements herein made and all information provided are complete, true and correct under penalty of perjury. I acknowledge that I have a continuing obligation to advise the court if a change occurs with regard to any information herein provided. The associated Kansas attorney has reviewed and approved this application as evidenced by also signing the same.

Respectully submitted,


________________________________  ________________________________ 
(Signature) (Signature)
 
________________________________  ________________________________ 
(Out-of-State Attorney - Typed or Printed) (Kansas Attorney - Typed or Printed)
 
________________________________  ________________________________ 
(State & Bar Registration No.(s)) (Kansas Bar Registration No.)
 
________________________________  ________________________________ 
(Business Address) (Business Address)
 
________________________________  ________________________________ 
   
________________________________  ________________________________ 
(City) (State) (Zip) (City) (State) (Zip)
 
________________________________  ________________________________ 
(Business Telephone Number) (Business Telephone Number)
 
________________________________  ________________________________ 
(E-Mail Address) (E-Mail Address)
 
________________________________ 
(Resident Address)
 
________________________________ 
(City) (State) (Zip)

 
IN THE DISTRICT COURT OF JOHNSON COUNTY, KANSAS
CIVIL COURT DEPARTMENT
__________________________________
Plaintiff Case No.______________
v. Division ______________
__________________________________ KSA Chapter ______________
Defendant      
               
 
BEFORE_____________________________ 
 
TITLE_______________________________ 
 
ADDRESS____________________________ 
 
 
OUT-OF-STATE ATTORNEY'S OATH
 
I _______________________ (name of out-of-state attorney), solemnly swear or affirm that I will support and bear true allegiance to the Constitution of the United States and the Constitution of the State of Kansas; that I will neither delay nor deny the rights of any person through malice, for lucre, or from any unworthy desire; that I will not knowingly foster or promote, or give my assent to any fraudulent, groundless or unjust suit; that I will neither do, nor consent to the doing of any falsehood in court; and that I will discharge my duties as an attorney and counselor in the District Court for the Tenth Judicial District of the State of Kansas with fidelity both to the court and to my cause, and to the best of my knowledge and ability. So help me God.

I, __________________________( name of out-of-state attorney), acknowledge that I will be held to the standard of conduct of the State of Kansas, the Kansas Rules of Professional Conduct, and will be subject to the order of, and amenable to disciplinary action by, the courts and administrative tribunals of this State.

I, _________________________do so swear (or affirm).
 
________________________________  ________________________________ 
(Signature) (Business Address)
 
________________________________  ________________________________ 
(Out-of-State Atty Name - Typed or Printed)  
 
________________________________  ________________________________ 
(State & Bar Registration No.) (City) (State) (Zip)
 
________________________________  ________________________________ 
(E-Mail Address) (Business Telephone Number)
 
Now on this __________ day of __________________, 20___, came _________________________, who is known to me. I did administer and the attorney did make the above-stated oath and did also in my presence sign the same.
 
________________________________ 
Judge (Seal) or Notary Public (Seal)

 
IN THE DISTRICT COURT OF JOHNSON COUNTY, KANSAS
CIVIL COURT DEPARTMENT
__________________________________
Plaintiff Case No.______________
v. Division ______________
__________________________________ KSA Chapter ______________
Defendant      
               
ORDER ADMITTING OUT-OF-STATE ATTORNEY TO PRACTICE
 
IT IS HEREBY ORDERED this _____ day of _______________________, 20__, that __________________________________________ (out-of-state attorney), whose address is ________________________________________________, is admitted to practice law before this court for the business of this case only, having made the showing required Supreme Court Rule 116, and having sworn to and signed the Out-of-State Attorney’s Oath.

This order shall be effective only so long as the out-of-state attorney has associated continually and is personally appearing with ___________________ (name of attorney licensed in Kansas), upon whom service may be had in all matters connected with this action with the same effect as if personally made on the out-of-state attorney.


_________________________________________
Judge of the District Court
 
 
Submitted by:
 
________________________________  ________________________________ 
(Kansas Attorney) (Out-of-State Attorney)
 
________________________________  ________________________________ 
(Kansas Bar Registration No.) (State & Bar Registration No.(s))
 
________________________________  ________________________________ 
(Business Address) (Business Address)
 
________________________________  ________________________________ 
(City) (State) (Zip) (City) (State) (Zip)
 
________________________________  ________________________________ 
(Business Telephone Number) (Business Telephone Number)
 
________________________________  ________________________________ 
(E-Mail Address) (E-Mail Address)
 
(This Order, when approved by the assigned judge, shall be served upon all counsel of record in this case.)