Del. R. Sup. Ct. Form 1
IN THE SUPREME COURT OF THE STATE OF DELAWARE
APPLICATION FOR A CERTIFICATE OF LIMITED PRACTICE
I, [Full Name] do hereby apply to the Supreme Court of the State of Delaware for a Certificate of Limited Practice in accordance with Supreme Court Rule 55.1.
I certify that I am employed exclusively as legal counsel for the [Full Name of Company or Business Entity] whose business is other than the practice of law or the provision of legal services.
I certify that I am a member in good standing of the following bars: [List all bar memberships and membership identification numbers, if any], and that I am an active member in good standing of the Bar of the State/Country of [List State/Country/Jurisdiction].
I certify that I have read, and am familiar with, the Delaware Lawyers' Rules of Professional Conduct.
Dated: _______
__________________________________
APPLICANT
Sworn to and subscribed
Before me this
Day of _______, 20
_______________
Notary Public
Del. R. Sup. Ct. Form 1