APPLICATION FOR ATTORNEY
NAME OF APPLICANT___________________________________________________
LAST FIRST M.I.
DATE OF BIRTH_________________________
NAME OF LAW-FIRM_____________________________PHONE#_______________
CERTIFICATE OF ATTORNEY
I , __________________________
certify that, I have a license to practice law in the State of
1) The applicant visits the courthouse for business on a frequent basis.
2) N.C. State Bar Number__________________________.
3) What Day and Time Range will you need access into the courthouse?
1) Completed Application
I understand this I.D. badge cannot be loaned to another individual. I will not allow a person without a badge to accompany me through the card swipe entrances or carry unauthorized items into the courthouse. I further understand it is my duty to secure this badge, and agree to contact Security immediately at 318-6774 if lost or stolen. I understand this is a privilege, which can be rescinded in the sound discretion of the issuing authority.
Signature of Applicant_______________________________Date______________
2. $25.00 FEE FOR DUPLICATE CARD IF LOST OR STOLEN.