Revised: 10/2014, CN: 11855 page 1 of 1
New Jersey Lawyers’ Fund For Client Protection
P.O. Box 961
Trenton, NJ 08625-0961
Certification for Pro Hac Vice Lawyers
Who No Longer Appear on a Case
For the Calendar Year(s)
To be effective, this certification must be executed without alteration.
I, _______________________________________________, am not currently appearing pro
hac vice in any matter in New Jersey, and I have not appeared pro hac vice in any matter in New
Jersey since at least January 31 of this calendar year. Thus, no payment is due. “Appearing”
includes remaining counsel of record in a matter that has not concluded, regardless of activity in
I certify that the foregoing statements made by me are true. I am aware that if any of the
foregoing statements made by me are willfully false, I am subject to punishment.