Heading
United States Court of Appeals for the ___ Circuit, then the title Certificate of Good Standing. The top line prints the form number and edition, AO 136A (Rev. 10/13).
AO 136A
Certificate of Good Standing (Court of Appeals)
- Agency
- U.S. Courts
- Revision
- Rev. 10/13
- Fillable fields
- 11
- Pages
- 1
- Official source
- U.S. Courts form page
- Checked
- October 20, 2026
AO 136A: Certificate of Good Standing (Court of Appeals)
AO 136A, Certificate of Good Standing (Court of Appeals), is a one-page form from the U.S. Courts for a United States Court of Appeals. On it, the Clerk of the Court certifies that a named person was duly admitted to practice in that court on a given date and is in good standing in that court. The U.S. Courts page lists it under Attorney Forms, effective on October 1, 2013, and the PDF prints the edition AO 136A (Rev. 10/13).
The form is written in the clerk's voice and is completed and signed by the court: the clerk's name goes in the opening line, and the signature lines are marked Clerk and Deputy Clerk. It asks for the circuit, the name of the person certified, the admission date, and the place and date the certificate is signed.
This page explains the form in plain words and is not legal advice. You can fill out the blank form free in your browser on this page and download the result without an account.
What's on AO 136A
Clerk's certification
A line for the name of the Clerk of the Court, who certifies that the person named next was duly admitted to practice in this Court.
Person admitted
A line for the name of the person admitted to practice in the court.
Admission date and good standing
A space marked (Date) for the date of admission, followed by the printed words "and is in good standing in this Court."
Place and date
"Dated at" with a space marked (Location) and a space marked (Date).
Signature lines
Two lines at the bottom, one marked CLERK and one marked DEPUTY CLERK.
How to fill out AO 136A
- 1
Enter the circuit
Fill in the circuit after "United States Court of Appeals for the" in the heading.
- 2
Enter the clerk's name
Type the name of the Clerk of the Court in the opening line, before "Clerk of this Court, certify that".
- 3
Name the person and the admission date
Enter the name of the person admitted to practice, then the date of admission in the space marked (Date).
- 4
Add the place and date
After "Dated at", enter the location and the date in the spaces marked (Location) and (Date).
- 5
Sign
The form has signature lines for the Clerk and the Deputy Clerk. The U.S. Courts PDF also has Print, Save As and Reset buttons.
The form is completed and signed by the clerk's office of the Court of Appeals. These are its spaces in order.
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Who signs it, fees and edition
Who signs it
The Clerk of the Court or a Deputy Clerk, on the lines marked CLERK and DEPUTY CLERK. The form is written as the clerk's own certificate.
Court
A United States Court of Appeals, with the circuit written in the heading.
Fees
The form and its U.S. Courts page do not print a fee.
Edition
The PDF prints AO 136A (Rev. 10/13). The U.S. Courts page lists it as effective on October 1, 2013, under Attorney Forms.
Related forms
Who completes AO 136A?
The form is the clerk's own certificate. It names these people.
Official sources and the blank
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Questions about Form AO 136A
Who signs AO 136A?
The form has signature lines for the Clerk and the Deputy Clerk of the Court of Appeals. Its opening line is written in the clerk's voice: "Clerk of this Court, certify that".
What does AO 136A certify?
That the person named was duly admitted to practice in the court on the date shown and is in good standing in the court.
Which court is AO 136A for?
A United States Court of Appeals. The heading has a blank for the circuit, and the U.S. Courts page lists the form under Attorney Forms.
Does AO 136A print a fee?
No. Neither the form nor its U.S. Courts page prints a fee.
Which edition is current?
The PDF prints AO 136A (Rev. 10/13), and the U.S. Courts page lists it as effective on October 1, 2013.