UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF PUERTO RICO
Federico Degetau Federal Building, Room 150
Office of the Clerk
150 Carlos Chardón Street
San Juan, Puerto Rico 00918-1767
APPLICATION TO TRANSFER TO INACTIVE STATUS
(PURSUANT TO LOCAL CIVIL RULE 83A(d)(2)
[Note: Please print or type all information]
I, __________________________________________________, an attorney duly admitted to the practice
of law before the United States District Court for the District of Puerto Rico with attorney identification
number _____________, do certify that:
1. I was admitted to the practice of law in the United States District Court for the District of Puerto
Rico on ________________/________/___________.
Month Day Year
2. I have paid my bar membership fees and appear in good standing as admitted attorney before the
United States District Court for the District of Puerto Rico. (Only active licensees may transfer to
inactive status. Also, while suspended, a licensee cannot change license status).
3. I request to be placed on inactive status as member of the bar of the United States District Court
for the District of Puerto Rico as of : ______________/____________/__________,
Month Day Year
4. I am an active member in good standing and eligible to practice in the following jurisdiction(s).e:
5. I am requesting to be placed on “inactive status” as member of the bar in the U.S. District Court
for the District of Puerto Rico for the following reason(s) and include the pertinent related
documentation:
_______________________________________________________________________________
_______________________________________________________________________________
6. My address is: __________________________________________________________________
_______________________________________________________________________________
7. My business telephone number is ( ) _____-_________.
8. My email address is ______________________________.