Request For Exemption From Electronic Public Access Fees {USCA 33}

UNITED STATES COURT OF APPEALS DISTRICT OF COLUMBIA CIRCUIT 333 Constitution Avenue, NW Washington, DC 20001-2866 Phone: 202-216-7000 | Facsimile: 202-219-8530 REQUEST FOR EXEMPTION FROM ELECTRONIC PUBLIC ACCESS FEES Name: Organization: Address: City: Phone: ( ) Fax: ( State: ) Zip Code: The Judicial Conference of the United States has prescribed a fee for electronic public access to court data, as set forth in the Electronic Public Access (EPA) Fee Schedule. The schedule provides that the court may exempt persons or classes of persons from the fees, in order to avoid unreasonable burdens and to promote public access to such information. Exemptions will be granted as the exception, not the rule. The exemption language is intended to accommodate those users who might otherwise not have access to the information in this electronic form. It is not intended to provide a means by which a court would exempt all users. Examples of persons and classes of persons who may be exempted from electronic public access fees include, but are not limited to: indigents; notfor-profit organizations; and voluntary ADR neutrals. I request an exemption from the electronic public access fees for the following reasons: Signature: Date: Please complete and send to: U. S. Court of Appeals for the D.C. Circuit Office of the Clerk, Attn: EPA Fees Exemption 333 Constitution Ave., N.W., Washington, D.C. 20001-2866 USCA Form 33 August 2009 (REVISED) American LegalNet, Inc. www.FormsWorkFlow.com