Request to Reapply for Membership in the Middle District of Florida Bar

* denotes a required field

First Name:	*
Middle Name or Initial:
Last Name:	*
Florida Bar Number:	(7-digits with leading zeros) *
Telephone Number:	nnn-nnn-nnnn *
Email Address:	*

Enter the number that appears below:
	*

Please read this important information about the next steps:
Once this request to reapply for membership is processed, you will receive an email from the PACER Service Center stating that your CM/ECF account is no longer linked to your PACER account. The email will come from the following sender: "do_not_reply@psc.uscourts.gov." Only after receiving this email can you reapply for admission and pay the admission fee by following the instructions in the Attorney Admissions and E-File Registration Guide.