Del. R. Sup. Ct. Form 1

As amended through November 14, 2024
Form 1 - Application

IN THE SUPREME COURT OF THE STATE OF DELAWARE

APPLICATION FOR A CERTIFICATE OF LIMITED PRACTICE PURSUANT TO RULE 55.3

I, [Full Name] do hereby apply to the Supreme Court of the State of Delaware for a Certificate of Limited Practice Pursuant to Supreme Court Rule 55.3.

I certify that I am employed exclusively as an Assistant United States Attorney for the District of Delaware.

I certify that I am a member in good standing of the following bars: [List all bar memberships and membership identification numbers, if any], and that I am an active member in good standing of the Bar of the State/Country of [List State/Country/Jurisdiction].

I certify that I have read, and am familiar with, the Delaware Lawyers' Rules of Professional Conduct.

Dated: _______

_____________

APPLICANT SIGNATURE

_____________

ADDRESS

_____________

CITY/STATE/ZIP

_____________

PHONE/EMAIL

Sworn to and subscribed

Before me this _____

Day of ___________, 20

___________________

Notary Public

Del. R. Sup. Ct. Form 1

Added effective 10/23/2012.