Pro Hac Vice Application

Under penalty of perjury, I declare the following statements to be true:

First Name*

Middle Initial

Last Name*

Home Jurisdiction*

Bar Number*

Mailing Address (Street, City, State, Zip)*

Phone Number*

Email Address*

Case Name*

Court*

Case Number*

I Intend To Associate With Oregon Attorney:*

Oregon Attorney's Bar Number*

Professional Liability Insurance Deductible or Self-insured Retention Amount*

Professional Liability Insurance Limits of Liability*

Payment*

Pro Hac Vice applications can be paid for online at: https://ebiz.osbar.org/ebusiness/ProductCatalog/Product.aspx?ID=3117

If you are paying by CC or debit card, enter an order number. If you are paying by check or money order, enter the check or money order number. Recognize that your application will not be considered complete until we receive your payment.

Upload Documents*

The out-of-state attorney must attach the following: a signed Certificate of Compliance for Pro Hac Vice Admission for acknowledgment; an original, recent Certificate of Good Standing; a certificate of insurance evidencing professional liability coverage for the attorney’s practice of law in Oregon that is substantially equivalent to the Oregon State Bar Professional Liability Fund plan; and payment to the Oregon State Bar in the amount of $500.00. Certificate of Compliance for Pro Hac Vice Admission: https://www.osbar.org/_docs/forms/prohacvice_cert.pdf

An out-of-state attorney wishing to renew an existing pro hac vice application must attach the Renewal Certificate of Pro Hac Vice Admission and submit payment to the Oregon State Bar in the amount of $500.00. Renewal Certificate of Compliance for Pro Hac Vice Admission: https://www.osbar.org/_docs/forms/prohacvice_recert.pdf

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