a) An exemption from the Judicial Conference's EPA Fee is necessary in order to avoid
unreasonable burdens and to promote public access to information.
d) I agree that any data received through this exemption will not be sold for profit, will not be
transferred, will not be used for commercial purposes, and will not be redistributed via the Internet.
Date
Applicant's Printed Name
Applicant's Signature
Please submit your completed, signed request via email to Multi-CourtExemptions@ao.uscourts.gov
or by mail to:
Attention: Multi-Court Exemptions
Court Programs Division
DPS-CSO-PRGD
One Columbus Circle, N.E.
Washington, DC 20544
Declaration: I declare that all the above information is true and understand that a false statement
may result in termination of my exempt access and an assessment of Electronic Public Access
usage fees. (The box must be marked or your request will not be considered)
** Requests sent through the US mail may take up to two weeks to clear security.**
4.) In support of this application, I affirm the following:
Applicant's Title
c) I understand that this fee exemption will apply only to me, will be valid only for the purposes
stated above, and will apply only to the electronic case files of the court(s) indicated above that are
available through the PACER service.
b) That the exemption will be for a definitive period of time:
City
State Zip Code
Applicant's Mailing Address
Applicant's Phone Number
Applicant's email address
click to sign
signature
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