ANDREA F. ROCCO Cuyahoga County Clerk of Courts
ANNaDilaRhEAKF. .BRyOrdCCO
Cuyahoga County Clerk of Courts
Electronic Filing Department 1200 Ontario Street
Cleveland, OH 44113 (216) 698-8682
Efile_support@cuyahogacounty.us
Electronic Filing Coordinator
Electronic Filing Registration Formd Drive
Cleveland, OH
E-FILE REGISTRATION FORM
Attorney
Firm Support Staff
Pro se
Electronic Filing Registration
Registrant's Name:
____________________________________________________________
OA(FtohtroioArtntAoertnyteoyBrAnacercyoNuBnutasmrObNnelyur):mber: ___________________________________________S__ta_t_e_:____________
Law Firm:
____________________________________________________________
Mailing Address:
____________________________________________________________
City, State, Zip:
____________________________________________________________
Phone Number:
____________________________________________________________
Fax Number:
____________________________________________________________
E-mail Address:
____________________________________________________________
ICf pornotascet ,Pcearssoen#: on which y_o_u__a_re__e_-_fi_li_n_g________________________________________________________________
I hereby agree to pay to the Clerk of Courts all charges incurred by me in using the Clerk of Courts' Electronic Filing System. These charges shall include the litigation fees, costs and expenses set by statute and by local court rule in the amoIuhnetrseabnydagarseuestuoapllayyatnodthcuesCtolemrkaroilfyCaosusertsssaeldl clihtiagragnetss ibnycuthrreeCd lbeyrkmoef Cinouusrtisn.gItuhnedCelresrtkanodf Cthoautrtthse' rEeleisctnrooncicosFtilpinegr se fSorysutseinmg. thTeheCsleerckhoafrgCeosusrthsa' Ell liencctlruodneicthFeililnitgigSatyiosntefmeeasn,dcothsatst tahnedaebxopveencsoesstsseatrbeythsetaotuntley oannedsbfyorlowcahlicchouI ratmrule in respthoensaibmleo.uInhtseraenbdy aasutuhsouraizlelytahnedCcleursktoomf CaroiluyrtasstsoescsheadrgleitigbaynAtsmbeyricthaen CExleprrkesosf ,CDoiusrctosv. eI ru,nMdaesrstetarCndartdhaotr tVhiesrae is no accocousntt tpheer fseeesfo, rcousstisn,gatnhdeeCxlpeerknsoefsCdoiruerct'tslyEcloencntreocntiecdFwiliinthgthSeysctoeumrt adnodcuthmaetntthseealebcotrvoencicoaslltys failered tbhyemoen.ly ones for
which I am responsible.
It is my understanding that this Electronic Filing Account may be revoked by me at any time for any reason and without expIlahnearteiobny, abuutthIoarilzseo uthnedeCrlsetraknodfthCaotumrtsy dtooicnhgasrgoewmillyinAvmaleidraictaenaEnyxperleescstr,oDniicscfoilivnegrs, MmaasdteertChearredaoftrerVuisnatilAaccnoeuwnt the Elecfetreosn,iccFoislitnsg aAncdcouenxpt eisncsreesateddireocrtlryesctoornende.cted with the court documents electronically filed by me. It is my
understanding that this Authorization may be revoked by me at any time for any reason and without explanation,
I unbduetrsItaalnsdo tuhnadt ethrsetaCnledrtkhoaft Cmoyudrtosincgolsleocwtsildl aintvaaolindamtey aancytioenlescptreornfoicrmfileindgisnsmidaedethteheerleecatfrtoenr iucnFtiilliangnSewysAteumth.oIriazagtrieoen thatismryesEtloercetdro. nic Filing account is unique to me and my ID and password should not be shared with anyone. I agree
that I will be held responsible for all actions performed by my account. I also agree to be bound by the policies, procedures, forms and local rules governing the use of electronic filing in
thBeyccohuertcskoinfgCtuhyisahboogx,aICsotautnettyhaast ImhoarveefruellaydetxhpelaEinleecdtrionntihceFmilinagteTriaelrsmpsroovf iUdesde toonmwewbwy.uleyarkhoogf aCcoouurntst.y.us.
I agree to be bound by the terms of use, conditions stated above, policies, procedures, forms and local rules governing
the use of electronic filing in the courts of Cuyahoga County as more fully explained in the materials provided to me by
the Clerk of Courts.
Signature:
____________________________________________________________
Printed Name:
____________________________________________________________
Date Signed:
e-signature
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