I, .........., attorney of record in this case, move that the court admit, .......... (name), an out-of-state attorney who is a member in good standing of the Bar of .........., for the limited purpose of appearing and participating in this case as co-counsel with me.

Out-of-State Attorney Information:

(Full Name)

(Address)

(Telephone)

(Email Address)

Unless the court has granted a motion for reduction or waiver, the $100.00 fee required by Code, Courts and Judicial Proceedings Article, § 7-202 (f) is included with this motion.

I [ ] do [ ] do not request that my presence be waived under Rule 19-217 (d).

I, .........., certify on this ... day of .........., ..., that during the preceding five years, I have been specially admitted in the State of Maryland .......... times by the following courts:

I have previously been issued the following unique identifying numbers by the Maryland Judiciary:

Attorney Information System ..........

Client Protection Fund ..........

Maryland Electronic Courts (MDEC) ..........

Source: This Form is derived from former Form RGAB-14/M (2016).