Please complete as much information as possible in this Application and submit all
appropriate attachments to:  ALFN’s Committee Staff Liaison - Susan Rosen via email at srosen@alfn.org.  You can review the full policy and procedures for review and filing of Amicus Briefs here.

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* 1. Contact Information for Individual Submitting Application

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* 2. What is the applicant's affiliation with the ALFN (the affiliation of the individual listed in Q1 above)?

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* 3. Contact Information for the individual, other than the person submitting the application, that is making the request to the ALFN to participate in the appeal. If the request is from the same individual that is completing the application (as shown in Q1 above), then enter that same information below.

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* 4. What is the requesters affiliation with the ALFN (the affiliation of the individual listed in Q3 above)?

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* 5. Full caption of the case in which the proposed amicus brief is to be filed.

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* 6. Name of the appellate court for the case in which the proposed amicus brief is to be filed.

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* 7. Case number for the case in which the proposed amicus brief is to be filed.

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* 8. Date by which the motion for leave to file an amicus brief must be filed.

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* 9. Date by which the amicus brief must be filed.

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* 10. Recommendation for an attorney to file this brief for the ALFN.

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* 11. Question(s) and/or issue(s) addressed or to be addressed to the Court, and copies of all orders subject to or on appeal, if available.

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* 12. Procedural History and Brief Factual Synopsis of the Case. (If available, attach all relevant rulings and opinions rendered at the trial level. If the matter is not currently
before an appellate court, please describe the nature of the assistance requested from the ALFN at this point in the proceedings).

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* 13. Brief statement as to how participation by the ALFN will advance its mission, benefit its membership, and the expertise the ALFN membership may provide.

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* 14. Brief statement of the anticipated position of the ALFN before the appellate court.

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* 15. Brief statement of the legal standards and requirements for filing an amicus brief in the jurisdiction in which the brief is to be filed.

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* 16. Names and contact information of all attorneys who the Person Submitting the application expects will participate in drafting the brief (including lead counsel), being sure to note whether they are ALFN members and that they will donate their time to do so (ALFN briefs are done on pro-bono basis by ALFN members or other designated counsel, as ALFN does not budget funds for Amicus Briefs).

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* 17. Whether and to what extent the assistance of the ALFN will be required, being sure to describe in detail the nature and anticipated extent of the ALFN’s requested participation.

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* 18. Any person or entity other than the ALFN offering to sponsor or fund drafting and filing of the amicus brief.

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* 19. If known, the identification of any other organizations that are filing, or that are expected to file, amicus briefs in the case, whether in support of or opposition to your position on the issue(s) to be considered.

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* 20. Do you recommend that this brief be completed by the ALFN alone, or do you believe that involving any other organizations would be beneficial? List any other organizations that ALFN should consider working with if you believe this should be a joint brief, and if any other organizations have already contacted you about ALFN doing a joint brief with their organization(s).

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* 21. Estimated costs (i.e. printing and filing costs) associated with the brief (ALFN briefs are done pro bono by ALFN members or other designated counsel, as ALFN does not budget expenses for Amicus Briefs).

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* 22. For the estimated costs as stated above (i.e. printing and filing costs), do you volunteer to cover these (either in whole or in part), and if so, what is the amount are you willing to contribute to these costs? If you aren't able to cover these costs for printing and filing, then indicate below that you are requesting the ALFN reimburse you for any hard costs involved in printing and filing.

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* 23. Any additional information you consider relevant to the Standing Committee’s determination of whether the ALFN should approve the filing of an amicus brief in the matter on its behalf.

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