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PART II: Local Counsel Information
Name
of
Arizona
Local
Counsel:
State
Bar
of
Arizona
Number:
Address:
Telephone:
Fax:
Email
Address:
Local Counsel is a member in good standing.
Local Counsel associating with a nonresident attorney in a particular cause s hall accept joint responsibility with the nonresident
attorney to the client, to opposing parties and counsel, and to court, board, or administrative agency in that particular cause.
PART III: Parties and Certification
Name(s) of each party in this cause and name and address of all counsel of record:
Party: Counsel of Record: Address:
Applicant is including with this application a nonrefundable application fee, payable to the State Bar of Arizona, in the
amount of $505.00. Fifteen percent of the non-refundable application fee paid pursuant to this section shall be deposited
into a civil legal services fund to be distributed by the Arizona Foundation for Legal Services and Education entirely to
approved legal services organizations, as that term is defined in subparagraph (2)(c) of this rule.
Applicant is furnishing a certificate from the state bar or from the clerk of the highest admitting court of each state, territory, or
insular possession of the United States in which the nonresident attorney has been admitted to practice law certifying the
nonresident attorney's date of admission to such jurisdiction and the current status of the nonresident attorney's membership or
eligibility to practice therein. The certificate furnished s hall be no more than forty-five (45) days old.
Applicant certifies the following:
1. Applicant shall be subject to the jurisdiction of the courts and agencies of the State of Arizona and to the State Bar of Arizona
with respect to the law of this state governing the conduct of attorneys to the same extent as an active member of the State
Bar of Arizona, as provided in Ariz. R. Sup. Ct. Rule 46(b).
2. Applicant will review and comply with appropriate rules of procedure as required in the underlying cause.
3. Applicant understands and shall comply with the standards of conduct required of members of the State Bar of Arizona.
Verification
STATE OF )
County of ) ss.
I, , swear that all statements in the application are true, correct and complete to the
best of my knowledge and belief.
Dated: Applicant’s
Signature:
SUBSCRIBED
AND SWORN TO before me this day of , 20 , by
.
Name of Applicant
Revised 05/01/20
Notary Public
