DEPARTMENT OF PERSONNEL & ADMINISTRATION Office of Administrative Courts  Michael S. Williams, Director & Chief Judge 633 17th Street, Suite 1300  Denver, Colorado 80202 Phone (303) 866‐2000  Fax (303) 866‐5909 www.colorado.gov/dpa/oac Audio Recording Request This form IS NOT to be used when requesting a transcript in connection with a Petition to Review. Today’s Date: Case No: Claimant/Party’s Name: Party Represented by Requestor Date of Hearing: Location of Hearing: If Denver, please specify Courtroom: 1 2 Time Hearing Started: Time Hearing Ended: 3 4 Tape # (if applicable) 5 6 Judge: Requests for written transcripts will be forwarded to an outside transcription service for preparation. If requesting a transcript, you must provide the name and address of the transcriptionist or court reporter to whom OAC will send a copy of the recording. I am requesting a copy of: CD/Tape recording of the hearing only. Written transcript of the hearing only. Name and address of transcriptionist attached. Both the CD/Tape recording and written transcript of the hearing. Name and address of transcriptionist attached. By signing this request, I acknowledge that the filing of this form with the Office of Administrative Courts does not constitute filing an appeal of this case. I further acknowledge that if this request is in conjunction with a Worker’s Compensation Petition to Review or other form of Appeal that additional filing requirements may need to be met pursuant to any and all applicable rules of the agency/department involved. Signature Phone No. Name (Please Print) Fax No. Firm E-Mail Address Opposing Counsel Name Address Opposing Counsel Phone Number City, State & Zip Opposing Counsel Fax No. To be completed by the OAC Request Logged in Database Hearing medium copied Recording sent out for transcription Requestor notified of completion A $3.00 charge will be assessed for duplication of AUDIO CASSETTES. There is no fee for duplicating CD’s. When the copy of the hearing is ready, the requestor will be notified by phone. The Requestor is responsible for arranging pick up of the recording. If the Requestor wants the recording mailed to them, they must also submit an addressed envelope with sufficient postage affixed to it. Revised 10/18/2005 American LegalNet, Inc. www.FormsWorkflow.com