On-Line Training Certification Form

United States Court of Appeals
for the Fourth Circuit
On-Line Training Certification Form

(*)Represents required field
*First Name
Middle Name
*Last Name
Generation (e.g., "Jr.," "III," etc.)
*Phone Number
*Email Address

* Check one:	I am a member of the Fourth Circuit bar. or
	I am a pro se litigant with a case pending in the Fourth Circuit, docket number:
I certify the following (must certify all items):
*	I have completed the "Appearance of Counsel" and "Motion to Seal" Electronic Learning Modules (or transcripts of those modules) on the Fourth Circuit's web page.
*	I have answered at least 9 out of 10 questions correctly on the "Policies and Procedures Review" on the Fourth Circuit's web page.
*	I consent to electronic service of case filings through CM/ECF. I acknowledge that my Appellate ECF Filer login and password constitute my signature on all documents filed using that login and password. I agree to protect the security of my login and password and to contact the PACER Service Center and the clerk immediately if I learn that my password has been compromised.

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