Www.ohsb.uscourts.gov
UNITED STATES BANKRUPTCY COURTSOUTHERN DISTRICT OF OHIOMEDIATOR ANNUAL RENEWALName:Please indicate any CHANGES to the following:Name of Law Firm or Business:Mailing Address:Telephone Number:Facsimile Number:Email Address:The undersigned is willing to travel to the following locations: [ ] Cincinnati [ ] Columbus [ ] DaytonPlease indicate any NEW experience or training or CHANGES to the nature of your practice:Mediation training and/or experience as a mediator:Initial year of bankruptcy practice:Percentage of practice in the field of bankruptcy:Percentage of consumer practice:Percentage of commercial practice:Percentage of debtor practice:Percentage of creditor practice:Experience as bankruptcy trustee, case trustee or attorney for trustee:Other professional experience: If the Applicant is an attorney, the undersigned certifies that he or she is a member in good standing of the Supreme Court of Ohio and the United States District Court for the Southern District of Ohio. If the Applicant is not an attorney, the undersigned certifies that he or she is licensed or accredited in his or her respective profession. The undersigned agrees to immediately inform the court if there is a determination impacting his or her standing to practice law or to practice in his or her respective profession.The undersigned consents to the disclosure of the information contained in this Application to court personnel, to parties and their attorneys whose matters have been referred to the Mediation Program, and to the posting of the information on the court’s website for the Mediation Program.The undersigned agrees to comply with all the provisions of the Mediation Program.The undersigned does solemnly swear or affirm that he or she will faithfully and impartially discharge all the duties incumbent upon me as a mediator for the Mediation Program for the United States Bankruptcy Court for the Southern District of Ohio without respect to persons and will do so equally with respect to the poor and to the rich._________________________________________________________NAMEDATEThis Annual Renewal shall be submitted electronically to: OHSB_MediatorApplications@ohsb. ................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.