Certification Of Lost Verbatim Court Record Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certification Of Lost Verbatim Court Record Form. This is a New Jersey form and can be use in Superior Court Statewide.
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Tags: Certification Of Lost Verbatim Court Record, 10776, New Jersey Statewide, Superior Court
New Jersey Judiciary
Superior Court - APPELLATE DIVISION
CERTIFICATION OF LOST VERBATIM COURT RECORD
Directions: Click on the appropriate boxes to mark them. Click on the appropriate fields to enter text.
Division
County
Docket No.
Indictment No.
Appellate No.
A
Case Name
V.
Before Judge
Proceeding Type
Date(s)
1.
2.
I,
3.
, employed by the State of New Jersey as a
County, on this date of
in 0
1.
On the date of
, do hereby certify to the following:
, I was requested by
to obtain
(check one)
audio tape(s)
video tape(s)
cd(s)
court reporting notes
for
(check one)
review
copying
transcription.
2. The request could not be completed because the court record was:
(check one)
missing
inaudible
3. The tape / CD number(s) is / are as follows:
1.
2.
4.
The record was prepared by
damaged
blank
3.
.
I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing
statements made by me are willfully false, I am subject to punishment.
Tape Transcript Processing Employee
Signature
Date
ACKNOWLEDGEMENT OF NOTICE OF LOST VERBATIM COURT RECORD
Record Preparer
Signature
Date
Trial Court Division Manager
Signature
Date
Operations Division Manager
Signature
Date
cc: Trial Court Administrator, Deputy Clerk of the Appellate Division, Trial Court Division Manager
Revised 01/2009, CN 10776- English
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