STATE OF NORTH CAROLINA COUNTY OF MECKLENBURG _________________________________ V. _________________________________ IN THE GENERAL COURT OF JUSTICE SUPERIOR DISTRICT COURT CASE NUMBER: ___________________ ) ) ) ) ) APPLICATION TO UTILIZE STILL PHOTOGRAPHY OR ELECTRONIC EQUIPMENT WITHIN THE COURTHOUSE FOR RECORDING OR PRESENTATION PURPOSES I ______________________________, media representative letter below that corresponds to your request): pro se litigant other am requesting permission to (please check the A._____ Utilize still photography video recording equipment audio recording equipment for broadcast/print presentation purposes in the above-captioned case currently scheduled for ______________ in Courtroom ______ with Judge_______________ (must be authorized by the Presiding Judge) ; or B._____ Utilize still photography video recording equipment audio recording equipment for broadcast/print presentation purposes within the following areas of the courthouse __________________________________ (must be authorized by the TCA or his designee); or C._____ Utilize still photography video recording equipment audio recording equipment for broadcast/print presentation purposes within the (Clerk’s) or (Sheriff’s Office) (must be authorized by the Clerk, Sheriff or their designee, depending upon the office from which you are requesting permission) on the _______ day of ______________, 20____. I have read and understand the Local Rules for the 26th Judicial District. I understand that in A and B, I must submit this application to the Community Access and Outreach Administrator for the TCA’s Office, who will facilitate obtaining the appropriate authorized signature. Applications under C may be submitted directly to the Clerk or Sheriff. I agree to follow those rules as well as any other rules that may be established. I understand that my failure to follow said rules will subject me to the contempt power of the Court or to such sanctions the Court deems appropriate. This the _____ day of ________________, 20____. ___________________________________________ Signature of Applicant ___________________________________________ Signature of Camera Operator (if different from above) ORDER ALLOWING THE UTILIZATION OF STILL PHOTOGRAPHY OR ELECTRONIC EQUIPMENT WITHIN THE COURTHOUSE FOR RECORDING OR PRESENTATION PURPOSES WHEREAS: WHEREAS: WHEREAS: [] 1. 2. 3. [] The above Applicant has requested permission to utilize still photography or electronic recording equipment for broadcast/print or presentation purposes during the proceedings in the above-captioned matter or within the courthouse as the application states; and The Applicant has read, understands and agrees to follow the applicable rules concerning such conduct and activity; and The Applicant understands he/she is subject to the contempt powers of the Court. NOW, THEREFORE, IT IS ORDERED AS FOLLOWS: The Applicant is allowed to utilize still photography and/or electronic recording equipment for broadcast/print presentation purposes during the public proceedings in the above-captioned matter or within the courthouse, as the application states. The Applicant must follow the applicable rules concerning such activity. The Presiding Judge may impose such additional rules as are necessary, and such rules are binding upon the Applicant and Camera Operator. The Applicant is subject to the contempt power of the Court. The application to utilize still photography and/or electronic recording equipment for broadcast/print presentation purposes during the public proceedings in the above-captioned matter or within the courthouse has been DENIED. This the ______ day of _______________, 20____. _________________________________ Judge Presiding; or Trial Court Administrator or Designee; or Clerk or Designee; or Sheriff or Designee G:\docs\common\Communications\Media\Filming Inside Courthouse\Electronic Media Form - June 2007.DOC Revised 6/07 American LegalNet, Inc. www.FormsWorkflow.com