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ATTORNEY APPOINTMENT LIST APPLICATION
(Personal Injury/Appellate)
Denton County District Courts
Name: _____________________________________ Date of Application: ____________
Bar Card Number: _________________________ Date Licensed: ____________
Business Mailing Address: ______________________________________________________
Business Physical Address: ______________________________________________________
Home Phone: __________________________ Cell Phone: ________________________
Business Phone: ____________________ Fax Phone: ________________________
Email Address: ____________________
I am requesting my name be placed on:
Personal Injury Appointment List: Appellate Appointment List:
Are you fluent in any language other than English? Yes No
Which languages? ____________________________________________________________
If yes, do you wish to be listed as a foreign language attorney? Yes No
CHARACTER, REPUTATION AND CONFLICTS
Are you currently a member in good standing of the State Bar of Texas?
Yes No
Have you been publicly sanctioned or reprimanded by the State Bar of Texas within the last three
(3) years?
Yes No
If yes, attach decisions by the committee and, if desired, any written explanations.
Are you a magistrate, city judge, assistant city judges, or any city, county, or state official?
Yes No If yes, where and in what capacity?
______________________________________________________________________________
______________________________________________________________________________
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Are you currently under indictment or charged with a criminal offense greater than a class “C”?
Yes No
If yes, attach a description of the charges, where they are pending and the current status.
Have you been convicted or placed on probation for any offense greater than a class “C”?
Yes No
If yes, attach copies of all final orders (or those deferring adjudication) and judgments.
Have you ever admitted, or been found, in connection with an official proceeding, to having
provided ineffective assistance of counsel?
Yes No
If yes, explain by attaching any applicable documents and, if desired, any written explanations.
EXPERIENCE
Are you board certified in personal injury or appellate law, by the Texas Board of Legal
Specialization?
Personal Injury: Yes No Appellate: Yes No
Are you a current member of the Denton County Bar Association? Yes No
What percentage of your practice is solely devoted to Personal Injury? __________________
How long have you been practicing Personal Injury? __________________
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Requirement:
Lead Counsel for at least 5 contested hearings (not including discovery disputes) or settlements
involving Personal Injury. Please list your experience to qualify for this requirement:
Date Cause # Style Presiding Judge
____ _______________ ______________________________ __________________
____ _______________ ______________________________ __________________
____ _______________ ______________________________ __________________
____ _______________ ______________________________ __________________
____ _______________ ______________________________ __________________
CONTINUING EDUCATION
Please list below the CLE course related to personal injury or appellate law you have attended
over the last three years (if you are board certified in personal injury you do not need to list this
information):
Date Course Title Hours Credit
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
______ ________________________________________________ ____________
TOTAL HOURS ____________
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For Appellant Applicants ONLY:
Number of briefs filed in appellate courts in the last 5 years: __________________
Attach samples of two briefs.
Number of oral arguments made in appellate courts in the last 5 years: __________________
If you possess any additional special qualifications to perform family law appeals, please state
them briefly:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
By my signature I attest that I have read, understand and agree to abide by the duties of the
Rules of Appellate Procedure and the rules of ethics promulgated by the State Bar of Texas
and affirm that the information I have provided in this application is true and correct.
______________________________________ __________________________
Signature of Applicant Date
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