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NEW JERSEY REGISTER
VOLUME 39, ISSUE 16
ISSUE DATE: AUGUST 20, 2007
RULE PROPOSALS
LAW AND PUBLIC SAFETY
DIVISION OF CONSUMER AFFAIRS
STATE BOARD OF COURT REPORTING

Proposed New Rules: N.J.A.C. 13:43-2.3, 3A.4 and 3A.5
Proposed Amendments: N.J.A.C. 13:43-1, 2.1, 3.2, 3A, 4.1, 4.4, 4.7, 5.3 through 5.6, 5.8, 5.9, 5.10, 6.1, and 7.1 through 7.4
Proposed Repeals: N.J.A.C. 13:43-4.2 and 4.3
Proposed Repeal and New Rule: N.J.A.C. 13:43-2.2
Proposed Recodification with Amendments: N.J.A.C. 13:43-3.1 as 5.1A

 
Click here to view Interested Persons Statement

Name Change from "Shorthand" to "Court" for Reporters and Board; Eligibility for Registration as a Temporary Registered Reporter; Disclosure Forms; Penalties; Examination for Certification as a Court Reporter; Criminal History Check; Continuing Education

Authorized By: State Board of Court Reporting, Dianne Tamaroglio, Executive Director.

Authority: N.J.S.A. 45:15B-1 et seq., 45:1-7.1 to 45:1-7.2 and N.J.S.A. 45:1-3.2.

Calendar Reference: See Summary below for explanation of exemption to calendar requirement.

Proposal Number: PRN 2007-265.

Submit comments by October 19, 2007 to:
   Dianne Tamaroglio, Executive Director
   State Board of Court Reporters
   124 Halsey Street
   P.O. Box 45019
   Newark, NJ 07101

The agency proposal follows:

Summary
Based on the recent amendments to P.L. 1940, c. 175, N.J.S.A. 45:15B-1 et seq., the State Board of Shorthand Reporters (the "Board") is proposing new rules, repeals and amendments to its rules. The statutory provisions under P.L. 2005, c. 308, effective January 11, 2007, that necessitated the promulgation of these rules are as follows: the Board now will be known as the State Board of Court Reporting, certified shorthand reporters now will be known as certified court reporters and, finally, the Board now has statutory authority to register temporary reporters and, by rule, set criteria under which the Board can determine the competency of applicants to practice as a temporary registered reporter. Prior to passage of this legislation, the Board had no direct authority to monitor the competency of or fine and discipline the approximately 200 non-certified court reporters who practice in this State. Rather, the Board relied on agencies that employed non-certified court reporters to abide by the rules promulgated by the Board. Thus, if a non-certified court reporter was not employed by an agency, then the Board had little control over the competency of that person and there was no one to oversee the work of that non-certified court reporter.

The Board now is administering the Registered Professional Reporter examination developed by the National Court Reporters Association as its examination to certify court reporters rather than a Board-created examination and proposes an amendment to and repeal of several provisions to reflect the examination change. Also, the Board is proposing to initiate a criminal history name search, under N.J.A.C. 13:59-1, for both applicants for certification and applicants for registration; and finally, amend Subchapter 7, the continuing education requirements. A summary of the proposed new rules, amendments and repeals follows.

The Board proposes to effect the name change from "shorthand" to "court" for both the Board and the reporters by way of amendments throughout the chapter. The Board proposes to amend its requirements for initial certification of court reporters at N.J.A.C. 13:43-2.1 to include a criminal history name search to be performed in accordance with N.J.A.C. 13:59-1. In order to fulfill this requirement, the applicant must pay the applicable fee and submit his or her name, address, date of birth and, if appropriate, social security number.

Proposed repeal and new rule N.J.A.C. 13:43-2.2 addresses the eligibility requirements for registered temporary reporters. In addition to the general requirements, an applicant must show evidence of one of the requirements set forth in proposed new subsection (b) of the proposed rule. Those requirements include a certificate of completion from a reporting school, proof that an applicant has practiced court reporting in three out of the last five years, proof of an active certificate or license from another state or a certificate issued by the National Court Reporters Association under certain titles. Proposed new subsection (c) requires an applicant for registration to undergo a criminal history record check. Proposed new subsections (d), (e), (f) and (g) contain disclosure requirements by which temporary registered reporters must abide and the requirements for filing and maintenance of the disclosure forms. Proposed new subsection (h) requires the temporary registered reporter to maintain a log of specified work items and proposed new subsection (i) allows the Board to audit records maintained by the temporary registered reporter. Proposed new subsection (j) states that a certified court reporter who has had his or her certification suspended and/or revoked is not eligible for temporary registered reporter status. Proposed subsection new (k) defines the penalties for failure to abide by the provisions of proposed N.J.A.C. 13:43-2.2. Further implementing the statute, the Board proposes to repeal the requirements for the employment of temporary reporters at N.J.A.C. 13:43-2.2(a) and (c) through (f). Subsection (b) of repealed N.J.A.C. 13:43-2.2 has been proposed as new N.J.A.C. 13:43-2.3 with the same technical amendments made throughout the rules.

The Board proposes to recodify N.J.A.C. 13:43-3.1 as 5.1A, which is amended to apply to the chapter as a whole. New definitions have been added for "certified court reporter," "court reporting," and "temporary registered reporter."

The Board has proposed new subsection N.J.A.C. 13:43-3A.1(e) to reflect the statutory language of N.J.S.A. 45:1-7.1e and to make the section consistent with proposed new rule N.J.A.C. 13:43-3A.4. Proposed N.J.A.C. 13:43-3A.1(e) requires the Board to send the certificate renewals at least 60 days prior to expiration. If the 60-day requirement is not met, then the Board cannot assess monetary penalties, except as otherwise noted. N.J.A.C. 13:43-3A.4 prescribes the registration renewal requirements for temporary registered reporters. The requirements of N.J.A.C. 13:43-3A.4 parallel those for certificate renewal; however, unlike the certificate holder, the registrant cannot elect active or inactive status. Proposed N.J.A.C. 13:43-3A.5 sets forth the requirements for reinstatement of a suspended temporary reporter registration.

The Board proposes to amend N.J.A.C. 13:43-4.1 to reflect that its examination for certification as a court reporter in this State is the National Court Reporters Association Registered Professional Reporter examination. Thus, the language of N.J.A.C. 13:43-4.1(a) has been amended to require only that the Board advertise the examination; the time and place of the examination and the number of applications accepted now will be determined by the National Court Reporters Association. In addition to those changes, N.J.A.C. 13:43-4.1(b), which dictates the items to be tested under the old examination, is proposed for deletion. Proposed new subsection (c) states that only Registered Professional Reporter examinations taken on or after May 1, 2006, will be accepted for certification purposes. Also, the Board proposes to repeal N.J.A.C. 13:43-4.2, Grading of the examination, and N.J.A.C. 13:43-4.3, Conditional credit rule, and delete N.J.A.C. 13:43-2.1(b), which is related to requirements under the old examination, as no longer necessary under the new examination.

Proposed amendments would be made to the following sections to require that temporary registered reporters abide by the applicable general provisions of Subchapter 5, currently applicable to certified reporters. The provisions are: N.J.A.C. 13:43-5.3, Change of address and service of process, N.J.A.C. 13:43-5.4, Prohibited practices, N.J.A.C. 13:43-5.5, Disclosure of title and certification number; the use of misleading titles and abbreviations, N.J.A.C. 13:43-5.6, Note and transcript retention policy, N.J.A.C. 13:43-5.8, Standards of practice and N.J.A.C. 13:43-5.9, Transcript format. In addition, the requirement found in new N.J.A.C. 13:43-2.2(f) has been placed in N.J.A.C. 13:43-5.9 as proposed new subsection (b) to be certain that the temporary registered reporter maintains the requisite documentation with both the original and copied transcript. Proposed new N.J.A.C. 13:43-5.6(c) requires registered temporary reports to retain all forms prepared under proposed N.J.A.C. 13:43-2.2(d), (e) and (h) for no less then five years.

The Board proposes to amend its fee structure at N.J.A.C. 13:43-6.1 to include application, initial registration, annual renewal, late registration and duplicate registration fees for temporary registered reporters and remove the fee for the certification examination.
Finally, the Board proposes to amend Subchapter 7, its continuing education requirements. The Board's proposed amendment to N.J.A.C. 13:43-7.2(a) establishes that at least 10 credits, of the required 15 credits, must be in core areas related to court reporting. Further, in order to be consistent with the Uniform Enforcement Act at N.J.S.A. 45:1-7.2, the Board proposes to amend N.J.A.C. 13:43-7.2(c) to require the completion of 15 credits of continuing education within the two years prior to reinstatement where a certificate holder has had his or her certificate suspended pursuant to N.J.A.C. 13:43-3A.1(d) for a period of two to five years.

The proposed amendments to N.J.A.C. 13:43-7.3(a) establish additional acceptable continuing education programs, courses and seminars including: successful completion of any course, program or seminar, which has been approved by the National Court Reporters Association and is in one of the core areas listed under N.J.A.C. 13:43-7.2(a)1; successful completion of each listed National Court Reporters Association examination; the successful completion of the National Certified Manager of Reporting Services course in whole or part; and the successful completion of pro bono events that require at least one hour of certified court reporter's time, skill and knowledge. In N.J.A.C. 13:43-7.3(a)3iv, the Board proposes to delete the reference to specific business areas and substitute the word practices.

Finally, the proposed amendments to N.J.A.C. 13:43-7.4 provide the credit hour calculations for continuing education programs, courses or seminars approved by the Board. In most instances, the Board is proposing that a certificate holder receive one continuing education credit for each hour of attendance at an approved course; however, the amendments have added provisions that allow a certificate holder to earn two continuing education credits for successful completion of each of the National Court Reporters Association examinations and five continuing education credits for each Part successfully completed of the National Certified Manager of Reporting Services course. Proposed N.J.A.C. 13:43-7.4(a)10 allows a certificate holder to earn up to three credits for certain pro bono events.

The Board has determined that the comment period for this proposal is 60 days; therefore, pursuant to N.J.A.C. 1:30-3.3(a)5, this proposal is excepted from the rulemaking calendar requirement.

Social Impact
The proposed inclusion of a criminal history name search for qualification for certification and registration will have a significant impact on those who use court reporting services, as well as other members of the public. Often, in the course of their employment, court reporters may have access to personal information such as, social security numbers, financial or medical information and proprietary information. Thus, determining whether an applicant has a criminal record can protect not only those who use the services of a court reporter, but also those who simply may be a witness in a proceeding.

The proposed new rules and proposed rule amendments relevant to the statutory change that allows the Board to promulgate rules related to the competency of the approximately 200 non-certified court reporters also will have a significant social impact on court reporting in the State. The proposed repeal and new rule at N.J.A.C. 13:43-2.2, in combination with amendments to N.J.A.C. 13:43-5.4 through 5.6 and 5.8 through 5.10 and new rules N.J.A.C. 13:43-3A.4 and 3A.5, enable the Board to monitor the proficiency of court reporters who are not certified, but who are engaging in practice in the State. For those who fail to register, N.J.A.C. 13:43-2.2(k) provides for penalties and discipline. These rules will enable the Board to protect the public's interest by ascertaining that a temporary reporter has the ability to produce an accurate record that can be relied upon by the parties who seek the reporter's services.

For several reasons, the Board has determined that it will administer the National Court Reporters Association examination as its certification examination. The timing of the examination now will be standardized and will not depend on the number of applicants as was previously the case in New Jersey.

The Board anticipates that the continuing education amendments will benefit both certificate holders and the public. The rules ensure that certificate holders supplement their knowledge and education on an ongoing basis and demonstrate proficiency in court reporting, thus, benefiting those who use the services of a court reporter. In addition, implementation of the proposed amendments will provide to the consumer, court reporting services from qualified, capable, and well-informed professionals. The proposed amendments also will have a positive social impact upon certificate holders who now have a greater selection of continuing education programs from which to enhance their professional knowledge.

Economic Impact
The Board anticipates that the proposed new rules and the proposed rule amendments may impose new or additional costs on consumers if the new costs to registered and certified reporters are passed on to the consumer. In addition, there will be new costs associated with registration as a temporary reporter and for those applying for certification. Temporary registered reporters now will be subject to payment of a one-time application fee and registration fee, an annual renewal fee and any fee associated with a criminal record check under N.J.A.C. 13:59-1.1 et seq. If the renewal is filed late, the temporary registered reporter will be subject to a late registration fee and if the registration lapses for more than 30 days the registrant will be subject to a reinstatement fee. Finally, if a person fails to abide by the requirements of N.J.A.C. 13:43-2.2, he or she may be subject to the fines listed in subsection (j) of that section.

Those applicants who will be sitting for the National Court Reporters examination for certification as a court reporter will now be subject to a $ 160.00 examination fee and a $ 35.00 processing fee, an increase of $ 95.00 from the fee for the Board-administered examination. The applicant for certification now will be subject to a criminal record check fee under N.J.A.C. 13:59-1.1 et seq. In addition, use of a national examination will be cost saving to the Board because it will no longer be required to rent space, set up proctoring, or process examination applications; those administrative tasks now will be the responsibility of the National Court Reporters Association.

Federal Standards Statement
A Federal standards analysis is not required because the proposed new rules, repeals and proposed rule amendments are subject to State statutory requirements and are not subject to any Federal requirements.

Jobs Impact
The Board does not believe there will be a gain or loss of jobs under the proposed new rules, repeals or amendments. However, the Board notes that the possibility exists that some non-certified court reporters may not meet the requirements set forth in N.J.A.C. 13:43-2.2 and, therefore, will not be able to work.

Agriculture Industry Impact
The proposed new rules, repeals and proposed rule amendments will have no impact on the agriculture industry in the State.
 
Regulatory Flexibility Analysis
If, for purposes of the Regulatory Flexibility Act (the Act), N.J.S.A. 52:14B-16 et seq., a new applicant for certification, the approximately 200 non-certified court reporters and the approximately 1,200 certified court reporters are considered "small businesses," then the following analysis applies.

The proposed new rules and the proposed rule amendments will impose compliance requirements on new applicants, as well as currently-certified court reporters. The proposed change in the qualifications for certification will require applicants to comply with the criminal history name search procedures. Further, the proposed amendment to N.J.A.C. 13:43-7.2(a) requires certificate holders to complete 10 of the required 15 continuing education credits in the areas listed in that rule.

In addition, the proposed new rules and the proposed rule amendments impose reporting, recordkeeping and other compliance requirements on those who register with the Board as temporary reporters.  N.J.A.C. 13:43-2.2(b) requires an applicant for registration to supply proof of one of the listed items in order to qualify for registration as a temporary reporter. Proposed subsection (c) requires an applicant to fulfill the necessary steps for a criminal history name search. In addition, subsection (d) requires the temporary registered reporter to disclose, before commencement of a proceeding, that he or she is not a certified court reporter. The temporary registered reporter is required to secure written acknowledgment from all participants in the proceeding. Subsection (e) requires the temporary registered reporter to abide by the requirements of New Jersey Court Rule R.4:14-5. Subsections (f), (g) and (h) set forth recordkeeping requirements, including the filing and maintenance of disclosure forms.

Proposed N.J.A.C. 13:43-3A.4 requires the registrant to submit a renewal application and fee in a timely manner and proposed N.J.A.C. 13:43-4A.5 sets forth the requirements for reinstatement where a registrant has failed to renew within 30 days.

The proposed amendments to Subchapter 5 contain the following compliance requirements for temporary registered reporters. A temporary register reporter must notify the Board of any change of address, N.J.A.C. 13:43-5.3; may not engage in any of the listed prohibited practices, N.J.A.C. 13:43-5.4; must disclose his or her title and registration number and may not use misleading titles, N.J.A.C. 13:43-5.5; and must abide by the notes and transcript retention policies, standards of practice, transcript format and on the record/off the record procedures, N.J.A.C. 13:43-5.7 through 5.10.

No professional services will be needed to comply with the proposed new rules, repeals or proposed rule amendments. Moreover, the Board anticipates that any costs of compliance will not be great and are discussed in the Economic Impact above. The Board believes that the proposed new rules and proposed rule amendments should be uniformly applied to all new applicants for certification and all temporary registered reporters to protect the general public; and, therefore, no differing compliance requirements for any registrant are provided.
 
Smart Growth Impact
The Board does not anticipate that the proposed new rules, repeals or proposed rule amendments will have any impact on the achievement of smart growth or on implementation of the State Development and Redevelopment Plan, otherwise known as the State Plan.
 
Full text of the rules proposed for repeal may be found in the New Jersey Administrative Code at N.J.A.C. 13:43-2.2, 4.2 and 4.3.
 
Full text of the proposed new rules and amendments follows (additions indicated in boldface thus; deletions indicated in brackets [thus]):
 
CHAPTER 43 STATE BOARD OF [SHORTHAND] COURT REPORTING
 
SUBCHAPTER 1.    STATE BOARD OF [SHORTHAND] COURT REPORTING; METHODS OF OPERATION
 
13:43-1.1   State Board of [Shorthand] Court Reporting; description
 
(a) The Board of [Shorthand] Court Reporting created in the Division of Consumer Affairs of the Department of Law and Public Safety, pursuant to N.J.S.A. 45:15B-1 et seq., consists of six members appointed by the [governor] Governor, three of whom are certified [shorthand] court reporters, two of whom are appointed by the Governor as public members, and the sixth being a member of the executive branch of government.
 
(b) The State Board of [Shorthand] Court Reporting is charged with the responsibility to certify [shorthand] court reporters and to discipline persons violating provisions of [the Shorthand Reporting Act,] N.J.S.A. 45:15B-1 et seq., pursuant to the provisions of the Uniform Enforcement Act, N.J.S.A. 45:1-14 et seq.
 
13:43-1.2   Methods of operation
 
(a) The State Board of [Shorthand] Court Reporting elects, from its number, a chairman and a secretary/treasurer to preside over its activities and to assume those duties normally associated with those offices.
 
(b) The State Board of [Shorthand] Court Reporting meets annually for the purpose of conducting business, and at such other times as are necessary.
 
(c) All communications, submissions and requests to and all inquiries for information from the Board of [Shorthand] Court Reporting should be directed to the Office of the State Board of [Shorthand] Court Reporting, Post Office Box 45019, Newark, New Jersey  07101.
 
SUBCHAPTER 2.    CERTIFICATION OF [SHORTHAND] COURT REPORTERS; REGISTRATION OF TEMPORARY REGISTERED REPORTERS
 
13:43-2.1   Eligibility for certification as a certified [shorthand] court reporter
 
(a) In order to qualify for certification as a certified [shorthand] court reporter, an applicant shall:
 
1. (No change.)
 
2. Be of good moral character, as established by references and a criminal history name search, as set forth in (b) below, which shall be requested and performed in accordance with N.J.A.C. 13:59-1;
 
3.-5. (No change.)
 
6. Have successfully passed the Board-approved examination for the certification of [shorthand] court reporters; and
 
7. (No change.)
 
[(b) An applicant who possesses a Registered Professional Reporter (RPR) Certification issued by the National Court Reporters Association shall successfully complete the four-voice section of the certification examination required by (a)6 above and maintain current RPR Certification in good standing to become certified by the Board.]
 
(b) An applicant for initial certification as a court reporter shall submit to the Board his or her name, address, date of birth and, in conformity with N.J.A.C. 13:59-1.4, social security number for the purpose of conducting a criminal history name search to determine whether any criminal history record information exists that the Board may consider in determining whether the applicant shall be certified in the State. The fee for a criminal history name search shall be paid by the applicant for certification as set forth in N.J.A.C. 13:59-1.3. In addition to its use in evaluating an application for initial certification, the Board may obtain criminal history record information from the Division of State Police for any other purpose authorized by statute or rule.
 
13:43-2.2   Eligibility for registration as a temporary registered reporter; disclosure forms; penalties
 
(a) In order to qualify to register as a temporary registered reporter pursuant to N.J.S.A. 45:15B-9, an applicant shall:
 
1. Be at least 18 years of age;
 
2. Be of good moral character, as established by references and a criminal history name search as set forth in (c) below, which shall be requested and performed in accordance with N.J.A.C. 13:59-1;
 
3. Have obtained a high school diploma or its equivalent;
 
4. Have submitted a completed application form to the Board;
 
5. Paid the application fee set forth in N.J.A.C. 13:43-6.1;
 
(b) In addition to (a) above, the applicant must present proof of one of the following:
 
1. A certificate of completion from a reporting school program;
 
2. Proof that the applicant has practiced court reporting in at least three out of the last five years preceding the date of application. Such proof shall consist of one of the following:
 
i. Submission of an affidavit of employment listing each job held during the three-year period that includes the name, address and telephone number of each employer; or
 
ii. Complete copies of all business records, such as, but not limited to, caption and appearance sheets and invoices, made for each court reporting assignment completed;
 
3. Proof of an active certificate or license from another state; or
 
4. A certification issued by the National Court Reporters Association under any of the following titles: Registered Merit Reporter, Certified Real Time Reporter, Certified Broadcast Captioner, or Certified Communications Access Realtime Translation Provider.
 
(c) An applicant for initial registration as a temporary registered reporter shall submit to the Board his or her name, address, date of birth and, in conformity with N.J.A.C. 13:59-1.4, social security number for the purpose of conducting a criminal history name search to determine whether any criminal history record information exists that the Board may consider in determining whether the applicant shall be registered in the State. The fee for a criminal history name search shall be paid by the applicant for registration as set forth in N.J.A.C. 13:59-1.3. In addition to its use in evaluating an application for initial registration, the Board may obtain criminal history record information from the Division of State Police for any other purpose authorized by statute or rule.
 
(d) A temporary registered reporter who is engaged in court reporting shall disclose to all participants of a proceeding and obtain from those participants, before commencement of the proceeding, a written acknowledgment that the temporary registered reporter is not certified by the Board but is registered with the Board to practice as a court reporter on a temporary basis. The written acknowledgement referred to above shall be in the form prescribed by the Board attached to these rules as chapter Appendix A and incorporated herein by rule.
 
(e) A temporary registered reporter who is engaged in court reporting shall abide by the requirements set forth in New Jersey Court Rules, R. 4:14-5. The waiver of the reading and signing of the deposition referred to in R. 4:14-5, shall be in the form prescribed by the Board, attached to these rules as chapter Appendix B and incorporated herein by reference.
 
(f) The original of the forms referred to in (d) and (e) above shall be placed with the original transcript. All copies of the transcript shall include a copy of the forms referred to in (d) and (e) above.
 
(g) The transcript shall not be considered complete if the registrant has not complied with the requirements of (f) above.
 
(h) The temporary registered reporter shall maintain a log of all proceedings that shall include the date, time, place, caption and appearance sheet and all disclosure forms referred to in (d) and those forms referred to in (e). The log shall be retained for a period of no less than five years.
 
(i) The Board may randomly audit records maintained by a temporary registered reporter under (h) above for any one-year period as determined by the Board.
 
(j) A certified court reporter who has had his or her certification suspended and/or revoked for any reason may not apply for temporary registered reporter status.
 
(k) A person who is in violation of this section shall be subject to a penalty of not more than $ 500.00 for the first violation, and not more than a $ 1,000 for each violation thereafter, to be sued for by the Board in a summary proceeding and collected in court pursuant to N.J.S.A. 2A:58-10 et seq. A person who fails to comply with the requirements of this section is subject to the suspension or revocation of that individual's certificate or temporary registration pursuant to N.J.S.A. 45:1-21.
 
13:43-2.3   Employment of temporary registered reporters
 
(a) An employer of a certified court reporter, or owner of a shorthand and/or court reporting agency, or certified court reporter may utilize temporary registered reporters referred to in N.J.A.C. 13:43-2.2 only in circumstances where a certified court reporter is unavailable. In such circumstances where a certified court reporter is unavailable, the employer, owner of a shorthand and/or court reporting agency, or certified court reporter shall contact five shorthand reporting agencies to seek an available certified court reporter. The employer, owner of a shorthand or court reporting agency, or certified court reporter shall record the five contacts in an affidavit that shall include the names of the agencies contacted, the dates and times of the contacts, and the specific job for which the certified court reporter is sought including the date, time, and location of the job, as well as the name(s) of the party (parties) soliciting the certified court reporter, and the name of the case for which the certified court reporter is sought.
 
1. The employer, owner of a shorthand and/or court reporting agency, or certified court reporter shall retain the affidavits referred to above for a period of three calendar years. The records shall be made available to the Board within two business days of the Board's written notice of request, and shall be subject to the Board's random audit. For purposes of this paragraph, a business day is defined as the hours between 9:00 A.M. and 5:00 P.M. Monday through Friday, excluding holidays.

SUBCHAPTER 3.    CERTIFICATION OF [SHORTHAND] COURT REPORTERS IN REALTIME REPORTING
 
(Agency Note: N.J.A.C. 13:43-3.1 is proposed for recodification with amendments as N.J.A.C. 13:43-5.1A.)
 
13:43-3.1   (Reserved)
 
13:43-3.2   Eligibility for certification as a certified [shorthand] realtime court reporter
 
(a) In order to be eligible for certification as a realtime court reporter, an applicant shall:
 
1. Hold a current New Jersey certified [shorthand] court reporting certification in good standing;
 
2. Submit a completed application [from which] that contains the following information:
 
i. Proof of certification as a [shorthand] court reporter;
 
ii.-iv. (No change.)
 
3. (No change.)
 
4. Successfully pass the Board-approved examination for the certification of realtime court reporters; and
 
5. (No change.)
 
13:43-3A.1   Certificate renewal
 
(a) (No change.)
 
(b) Renewal applications shall provide the applicant with the option of either active or inactive status. A certificate holder electing inactive status shall pay the inactive license fee set forth in N.J.A.C. 13:43-6.1, and shall not engage in the practice of [shorthand] court reporting.
 
(c)-(d) (No change.)
 
(e) The Board shall send a notice of renewal to each certificate holder at least 60 days prior to the expiration of his or her certificate. If the notice to renew is not sent 60 days prior to the expiration date, no monetary penalty or fines shall apply to the certificate holder for any uncertified practice during the period following the certificate expiration, not to exceed the number of days short of 60 before the renewal was issued.
 
13:43-3A.2   Change of certification status: inactive to active
 
(a)-(b) (No change.)
 
(c) A certificate holder who has been on inactive status for a period of five or more years shall take an examination that has been determined by the Board to test the applicant's ability to practice [shorthand] court reporting.
 
13:43-3A.3   Reinstatement of suspended certificate[.]
 
(a) An individual whose certificate has been automatically suspended for failure to renew as provided by N.J.A.C. 13:43-3A.1(d) may be reinstated by the Board, provided the applicant otherwise qualifies for certification pursuant to N.J.A.C. 13:43-2.1 and 3.1, and submits a completed reinstatement application and one of the following to the Board:
 
1. Certification of licensure or certification in good standing from any other state or jurisdiction in which the applicant has practiced [shorthand] court reporting during the period the certificate was suspended in this State;
 
2. Certification by the applicant stating that he or she has practiced [shorthand] court reporting in a state or jurisdiction, which does not require certification or licensure, during the period the certificate was suspended in this State; or
 
3. Certification stating that the applicant has not practiced [shorthand] court reporting, in this or any other jurisdiction during the period the certificate was suspended in this State.
 
(b) An individual who has practiced [shorthand] court reporting in the manner described in (a)1 or 2 above shall submit written verification, on a form provided by the Board, from all of the applicant's employers. The verification shall document dates of employment from the date the New Jersey certificate was suspended to the date of application for reinstatement, and the name, address and telephone number of each employer.
 
(c)-(e) (No change.)
 
13:43-3A.4   Registration renewal for temporary registered reporters
 
(a) All registrations issued by the Board shall be issued for a one-year period. A registration holder who seeks renewal of the registration shall submit a registration renewal application and the registration renewal fee set forth in N.J.A.C. 13:43-6.1 prior to the expiration date of the registration.
 
(b) If the registration holder does not renew the registration prior to its expiration date, the registration holder may renew it within 30 days of its expiration by submitting a renewal application, a renewal fee and a late fee, as set forth in N.J.A.C. 13:43-6.1.
 
(c) A registration that is not renewed within 30 days of its expiration shall be automatically suspended. An individual who continues to practice with a suspended registration shall be deemed to be engaged in unregistered practice.
 
(d) The Board shall send a notice of renewal to each registration holder at least 60 days prior to the expiration of his or her registration. If the notice to renew is not sent 60 days prior to the expiration date, no monetary penalty or fines shall apply to the registration holder for any unregistered practice during the period following the registration expiration, not to exceed the number of days short of 60 before the renewal was issued.
 
13:43-3A.5   Reinstatement of suspended registration
 
(a) An individual whose registration has been automatically suspended for failure to renew as provided by N.J.A.C. 13:43-3A.4(c) may be reinstated by the Board, provided the applicant:
 
1. Otherwise qualifies for registration pursuant to N.J.A.C. 13:43-2.2;
 
2. Demonstrates competency satisfactory to the Board;
 
3. Submits a completed reinstatement application; and
 
4. Pays the reinstatement fee pursuant to N.J.A.C. 13:45-6.1.
 
(b) An individual with a suspended registration shall submit to the Board:
 
1. A certification stating that the applicant has not practiced court reporting, in this jurisdiction during the period the registration was suspended in this State; or
 
2. A written verification from all of the applicant's employers. The verification shall document dates of employment from the date the New Jersey registration was suspended to the date of application for reinstatement, and the name, address and telephone number of each employer.
 
13:43-4.1   Examinations for certification as a certified [shorthand] court reporter; frequency[; components; materials to be furnished by applicant; test materials to be surrendered to the Board; failure to complete the examination; score necessary for certification]
 
(a) The examination for certification as a certified [shorthand] court reporter shall be held at least once per year [at such times and places as may be deemed necessary by the Board, providing sufficient applications are on file with the Board]. The time and place of an examination shall be advertised by the Board at least 30 days prior to the date of such examination.
 
[(b) As part of the examination, a candidate:
 
1. Shall be required to write shorthand from dictation, under simulated reporting conditions, at speeds ranging from 180 to 225 words per minute and shall write shorthand with either pen, pencil or stenotype machine;
 
2. Shall be required to transcribe the dictated matter on a typewriter, word processor, or computer furnished by the candidate or in such other manner as may be approved by the Board; and
 
3. Shall be required to furnish his or her own transcript paper and all other materials, such as dictionaries.
 
(c) Upon completion of the examination, all shorthand notes, transcripts and other examination papers shall become the property of the Board.
 
(d) Candidates who do not complete transcription of the examination must surrender the stenographic notes and partial transcript to the Board members for purposes of disposal.]
 
(b) The National Court Reporters Association Registered Professional Reporter examination shall be the Board-approved examination for certification of court reporters.
 
(c) The Board will accept a National Court Reporters Association Registered Professional Reporter examination taken on or after May 1, 2006 to satisfy the examination requirement for certification as a court reporter under N.J.A.C. 13:43-2.1.
 
13:43-4.2   (Reserved)
 
13:43-4.3   (Reserved)
 
13:43-4.4   Examination for certification as a certified [shorthand] realtime court reporter; frequency; components; process; materials to be furnished by the applicant; grading
 
(a) The examination for certification as a certified [shorthand] realtime court reporter shall be held at least once a year at such times and places as may be deemed necessary by the Board, providing sufficient applications are on file with the Board. The time and place of an examination shall be advertised by the Board at least 30 days prior to the date of such examination.
 
(b)-(e) (No change.)
 
13:43-4.7   Certification without examination
 
(a) An applicant for certification as a certified [shorthand] court reporter who presents proof of having earned the designation of Registered Merit Reporter awarded by the National Court Reporters Association shall be deemed to have satisfied the examination requirement set forth in N.J.A.C. 13:43-2.1.
 
(b) An applicant for certification as a certified [shorthand] realtime court reporter who presents proof of having earned a certificate in realtime reporting awarded by the National Court Reporters Association shall be deemed to have satisfied the examination requirement set forth in N.J.A.C. 13:43-3.2.
 
SUBCHAPTER 5.    GENERAL PROVISIONS
 
13:43-[3.1]5.1A     Definitions
 
The following words and terms, when used in this [sub]chapter, shall have the following meanings, unless the context clearly indicates otherwise:
 
"Certified court reporter" or "CCR" means any person who is certified pursuant to the provisions of N.J.S.A. 45:15B-1 et seq.
 
"Certified [shorthand] realtime court reporter" or ["C.S.R.R."] "CRCR" means one who possesses a voluntary certification to perform realtime reporting.
 
"Court reporting" means making, by use of symbols or abbreviations, of a verbatim record of court proceedings, depositions, other judicial proceedings, meetings of boards, agencies, corporations, or other bodies or groups and causing that record to be provided or printed in a readable form or produced on a computer screen in a readable form.
 
"Realtime reporting" means a computer-aided method of translation performed by a certified [shorthand] realtime court reporter (who must also hold a current New Jersey certificate as a certified [shorthand] court reporter), in order to provide a simultaneous verbatim transcription on a computer screen of any testimony given under oath before any court, referee, board, commission, or other body created by statute of this State.
 
"Temporary registered reporter" or "TRR" means a non-certified court reporter who has registered with the Board pursuant to N.J.A.C. 13:43-2.2.
 
13:43-5.3   Change of address; service of process
 
(a) A certification or registration holder of the Board of [Shorthand] Court Reporting shall notify the Board in writing of any change of name or address from that currently registered with the Board and shown on the most recently issued certification or registration. Notice shall be given not [less] more than 30 days following such change.
 
(b) Service of an administrative complaint or other process initiated by the Board, the Attorney General or the Division of Consumer Affairs at the certified or registered practitioner's address on file with the Board shall be deemed adequate notice for the commencement of any inquiry or disciplinary proceeding against the certified or registered practitioner.
 
13:43-5.4   Prohibited practices
 
(a) [A certified shorthand] Certified court reporters and temporary registered reporters shall not:
 
1. Provide incentives or rewards to attorneys, clients or their representatives or agents to use the services of a certified [shorthand] court reporter or a temporary registered reporter. Certified [shorthand] court reporters and temporary registered reporters may distribute promotional items of nominal value, which advertise their business;
 
2. Provide or arrange to provide reporting services, in a judicial or quasi-judicial matter and/or a deposition, if he or she:
 
i.-iii. (No change.)
 
iv. Is related to an agent or is an employee of a person or entity with a financial interest in the action or its outcome; or
 
[3. (Reserved); or]
 
[4.] 3. Enter into or arrange any contract or financial relationship that compromises the impartiality of the certified [shorthand] court reporter or temporary court reporter or that may result in the appearance that the impartiality of the certified [shorthand] court reporter or temporary registered reporter has been compromised.
 
(b) A violation of any provisions in (a) above shall constitute professional misconduct and shall be grounds for disciplinary action, including suspension or revocation of certification as a certified [shorthand] court reporter in the State of New Jersey or of a registration as a temporary registered reporter, by the Board pursuant to N.J.S.A. 45:1-21 et seq.
 
13:43-5.5   Disclosure of title and certification or registration number; the use of misleading titles and abbreviations
 
(a) A certified [shorthand] court reporter, [or a] certified [shorthand] realtime court reporter or a temporary registered reporter shall indicate his or her title in the form of [the] an abbreviation ["C.S.R."] "C.C.R." (certified [shorthand] court reporter), [or "C.S.R.R."] "C.R.C.R." (certified [shorthand] realtime court reporter) or "T.R.R." (temporary registered reporter), respectively, on all official documents he or she has prepared including, but not limited to, all transcripts, invoices, business cards, advertising and any other document containing reported and/or recorded information.
 
(b) A person who is not a certified [shorthand] court reporter [or], certified [shorthand] realtime court reporter of New Jersey or a temporary registered reporter shall not use misleading titles or abbreviations such as [C.S.R] C.C.R., [C.S.R.R.] C.R.C.R., T.R.R., [Shorthand] Court Reporter of the State of New Jersey, Realtime Reporter of the State of New Jersey, Court Reporter or [S.R.] C.R.
 
13:43-5.6   Note and transcript retention policy
 
(a) [A] All certified [shorthand] court reporters and all temporary registered reporters shall retain all notes in civil matters for no less than five years unless a full transcript has been prepared of the matter, in which case the electronic notes and the transcript shall be retained for at least five years, but the paper notes may be discarded after two years.
 
(b) In all criminal matters and any other matter heard in the Superior Court of New Jersey, in a Federal District Court, or any other court of competent jurisdiction, a certified [shorthand] court reporter or a temporary registered reporter shall retain all notes in accordance with the procedures established by such court.
 
(c) All temporary registered reporters shall retain all forms prepared pursuant to N.J.A.C. 13:43-2.2(d), (e) and (h) for no less than five years.
 
13:43-5.8   Standards of practice
 
(a) [A certified shorthand] Certified court reporters and temporary registered reporters shall:

1.-2. (No change.)
 
3. Attach a certification page to all transcripts attesting that the certified [shorthand] court reporter or temporary registered reporter is unrelated to the parties involved in the action; has no financial interest and is not related to an agent of or employed by anyone with a financial interest in the outcome of the action; is a certified [shorthand] court reporter or temporary registered reporter; the transcript is a verbatim record of the testimony provided under oath before any court, referee, board, commission or other body created by statute of the State of New Jersey; and [including] includes the notary number, expiration date and certified [shorthand] court reporter certificate number or temporary registration number;
 
4.-5. (No change.)
 
13:43-5.9   Transcript format
 
(a) A certified [shorthand] court reporter or temporary registered reporter shall follow the following transcript format:
 
1.-8. (No change.)
 
(b) A temporary registered reporter shall fulfill the requirements of N.J.A.C. 13:43-2.2(f) for original and copied transcripts.
 
13:43-6.1   Fee schedule
 
(a) The following fees shall be charged by the Board:
 


1. Application fee:

 

 

 

i. Certified [shorthand] court reporter...........................

$ 150.00

 

 

ii. Certified [shorthand] realtime court reporter.......

150.00

 

 

iii. Temporary registered reporter................................

150.00

 

 

2. Examination fee

 

 

 

[i. Certified shorthand reporter..................................

100.00]

 

 

[ii] i. Certified [shorthand] realtime court reporter...

100.00

 

 

3. Initial certification fee (certified [shorthand] court

 

reporter only):

 

 

 

i.-ii. (No change.)

 

 

 

4. Initial certification fee (certified [shorthand] realtime

 

court reporter only):

 

 

 

i.-ii. (No change.)

 

 

 

5. Initial registration fee (temporary registered reporter only)

 

..................................................................

125.00

 

 

[5.] 6. Biennial renewal fee:

 

 

 

i. Certified [shorthand] court reporter...........................

250.00

 

 

ii. Certified [shorthand] realtime court reporter.......

100.00

 

 

7. Annual renewal fee temporary registered reporter...............

125.00

 

 

[6.] 8. (No change in text.)

 

 

 

9. Late registration renewal fee..................................

100.00

 

 

Recodify existing 7. and 8. as 10. and 11.

 

(No change in text.)

 

 

 

12. Duplicate registration fee....................................

20.00

 

 

[9.] 13. Replacement wall certificate or registration.............

40.00

 

 

[10.] 14. (No change in text.)

 

 

 

[11.] 15. Inactive license fee..............(to be determined by the Director

by rule)

 

 
13:43-7.1   Certificate renewal: continuing education requirement

(a) A certified [shorthand] court reporter applying for biennial certificate renewal shall complete, during the preceding biennial period, continuing education in the continuing education (["]CE["]) credits specified in N.J.A.C. 13:43-7.2. Certificate holders are exempt from the continuing education requirements of this subchapter for the initial period of certification.

(b) (No change.)

13:43-7.2   Credit-hour requirements
 
(a) An applicant for a biennial certificate renewal shall complete, during the preceding biennial period, a minimum of 15 credits of continuing education[.] in the following manner:
 
[1. For the biennial certification period ending on June 30, 2002, certificate holders shall only be required to complete eight credits of continuing education.]
 
1. At least 10 credits shall be in core areas relating to court reporting, such as:
 
i. Computer assisted technology, including computer-aided transcription (CAT), communication access realtime translation (CART) and captioning;
 
ii. Speed/accuracy;
 
iii. Grammar;
 
iv. Real time technology and proficiency;
 
v. Ethics;
 
vi. Transcript preparation and production; or
 
vii. Business practices; and
 
2. Subjects other than those listed in (a) above may be acceptable for continuing education credit if the certificate holder can demonstrate to the satisfaction of the Board that such subject or specific program contributes to the maintenance of the certificate holder's professional competence.
 
(b) A certificate holder who completes more than the 15 minimum continuing education credits [set forth in (a) above] in any biennial registration period may carry over no more than five of the additional credits into a succeeding biennial period only if the additional credits were earned in the last six months of the preceding biennial period.
 
(c) A certificate holder whose certificate has [lapsed] been suspended pursuant to N.J.A.C. 13:43-3A.1(d) for a period of two to five years [or more] shall complete 15 credits of continuing education within two years prior to reinstatement.
 
(d)-(e) (No change.)
 
13:43-7.3   Continuing education programs [and], courses and seminars
 
(a) A certificate holder may obtain continuing education credits from the following:
 
1. Successful completion of any course, program or seminar, which has been approved by the National Court Reporters Association and is in one of the core areas listed under N.J.A.C. 13:43-7.2(a)1;
 
[1.] 2. Successful completion of continuing education programs, courses or seminars approved by the Board pursuant to N.J.A.C. 13:43-7.7. The Board shall approve only such continuing education programs, courses or seminars as are available and advertised on a nondiscriminatory basis to all persons granted certificates by the New Jersey State Board of [Shorthand] Court Reporting. The Board shall maintain a list of approved programs, courses and seminars at the Board office and shall furnish this information to certificate holders upon request;
 
[2.] 3. Post-secondary course work, transcripts of which shall be furnished to the Board, in areas relating to [shorthand] court reporting, such as:
 
i.-iii. (No change.)
 
iv. Business [recordkeeping and/or accounting and/or marketing] practices; and
 
v. (No change.)
 
[3.] 4. (No change in text.)
 
[4.] 5. Authorship of textbooks, articles or manuals, as they specifically relate to [shorthand] court reporting; [and]
 
[5.] 6. Correspondence, televised, videotaped, teleconference and internet courses upon verification by the course provider that the course was monitored and successfully completed by the certificate holder[.];
 
7. Successful completion of each of the following National Court Reporters Association examinations:
 
i. National or State Certified Realtime Reporter (CRR) Examination;
 
ii. National Certified Broadcast Captioner (CBC) Examination;
 
iii. National Certified CART Provider (CCP) Examination;
 
iv. National Registered Merit Reporter (RMR) Examination; and
 
v. Registered Diplomate Reporter (RDR) Examination;
 
8. Successful completion of the National Certified Manager of Reporting Services (CMRS) course in part or whole; or
 
9. Successful completion of pro bono events that each required at least one hour of the certified court reporter's time and required the certified court reporter's specific skills and knowledge. A pro bono event shall include, but shall not be limited to, providing services free of charge that result in the completion of a transcript, such as for indigent legal services and moot court.
 
13:43-7.4   Credit hour calculations
 
(a) Credit for continuing education shall be granted as follows for each biennial certification period:
 
1. Successful completion of any course, program or seminar, which has been approved by the National Court Reporters Association and is in one of the core areas listed in N.J.A.C. 13:43-7.2(a): one continuing education credit for each hour of attendance at an approved course. Credit shall not be granted for courses that are less than one instructional-hour long. An entire course or segment of course instruction shall be completed in order to receive any continuing education credit;
 
[1.] 2. Attendance at programs, courses or seminars approved by the Board pursuant to N.J.A.C. 13:43-7.7: one continuing education credit for each hour of attendance at an approved course. Credit shall not be granted for courses, which are less than one instructional-hour long. An entire course or segment of course instruction shall be completed in order to receive any continuing education credit;
 
[2.] 3. Successful completion of post-secondary course work pursuant to N.J.A.C. 13:43-[7.3(2)]7.3(a)3: one continuing education credit for each course credit awarded;
 
[3.] 4. Publication in a professional journal of an article related to the practice of [shorthand] courtreporting of not less than 500 words: three continuing education credits per article with a maximum of six credits per biennial certification period;
 
[4.] 5. Authorship of a textbook or manual of not less than 7,500 words related to the practice of [shorthand] court reporting: five continuing education credits for each textbook or manual with a maximum of 10 credits per biennial certification period;
 
[5.] 6. Teaching, research appointments and program development: five continuing education credits for each new course, with a maximum of 10 credits per biennial certification period. "New" means a new course, which the licensee has never taught before in an educational setting; [and]
 
[6.] 7. Correspondence, televised, videotaped, teleconference and internet courses: one continuing education credit [per course with a maximum of five credits per biennial certification period.] for each hour of instruction for an approved course. Credit shall not be granted for courses, which are less than one instructional-hour long. An entire course or segment of course instruction shall be completed in order to receive any continuing education credit;
 
8. Successful completion of each of the National Court Reporters Association examinations as set forth in N.J.A.C. 13:43-7.3(a)7: two continuing education credits may be earned, on a one-time basis, per biennial certification period;
 
9. Successful completion of the National Certified Manager of Reporting Services (CMRS) course: five continuing education credits for each Part, with a total of 15 continuing education credits for successfully completing the course as a whole, which includes preparing a Thesis; and
 
10. Pro bono events as set forth in N.J.A.C. 13:43-7.3(a)9: up to three continuing education credits per biennial certification period.
 
(Agency Note: The text of proposed new N.J.A.C. 13:43 Appendices A and B follows without boldface symbolizing proposed new text; those portions of the appendices appearing in boldface are proposed to be so permanently.)
 
APPENDIX A
 
WRITTEN NOTIFICATION AND DISCLOSURE FORM

 

 

 

 

 

Plaintiff,

 

 

 

 

 

 

 

 

 

 

 

v.

 

 

 

 

 

 

 

 

 

Defendant.

 

 

 

 

 

 
__________________________________________________________
(Name of Temporary Registered Reporter)

 
__________________________________________________________
(Temporary Registered Reporter Number)

 
__________________________________________________________
(Name and Telephone Number of Agency, if applicable)

 
__________________________________________________________
Date of Deposition or Proceeding
Pursuant to the mandates of  N.J.S.A. 45:15B-9 b(2) and N.J.A.C. 13:43-2.2(d), please be advised that I am a Temporary Registered Reporter in the State of New Jersey. A Temporary Registered Reporter is not certified by the State Board of Court Reporting ("Board") but is registered with the Board to practice as a court reporter on a temporary basis.
A Temporary Registered Reporter is required to disclose to all parties at a proceeding that he/she is not a certified court reporter in this State and is further required to obtain a written acknowledgment that this information has been disclosed to the parties. Therefore, please sign and date this form below in order to acknowledge and attest to the fact that this proceeding is being recorded by a Temporary Registered Reporter rather than a Board certified court reporter.

 

 

Plaintiff/Petitioner/Attorney

Defendant/Respondent/Attorney

-----------------------------

-----------------------------

 

 

_____________Print Name

________________Print Name

 

 

______________Signature

________________Signature

 

 

Plaintiff/Petitioner/Attorney

Defendant/Respondent/Attorney

 

 

_____________Print Name

________________Print Name

 

 

______________Signature

_________________Signature

 

 

Plaintiff/Petitioner/Attorney

Defendant/Respondent/Attorney

 

 

_____________Print Name

________________Print Name

 

 

______________Signature

_________________Signature

 

 

Plaintiff/Petitioner/Attorney

Defendant/Respondent/Attorney

 

 

_____________Print Name

________________Print Name

 

 

______________Signature

_________________Signature

 

 

 

 

 

 

 
REFUSAL TO CONSENT
I, ________________________, a Temporary Registered Reporter, Registration Number _______________, hereby certify that, as required by  N.J.S.A. 45:15B-9 b(2) and N.J.A.C. 13:43-2.2(d), I disclosed to the participants of the proceeding identified above that I am not certified by the State Board of Court Reporting but that I am registered with the Board to practice as a court reporter on a temporary basis. The parties thereafter chose to postpone the proceeding until a certified court reporter is available. 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.

_____________________________________________________________
Name and Registration Number of Temporary Registered Reporter

APPENDIX B

WAIVER FORM

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Plaintiff,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

v.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Defendant.

 

 

 

 

 

__________________________________________________________
(Name of Temporary Registered Reporter)

 
__________________________________________________________
(Temporary Registered Reporter Number)

 
__________________________________________________________
(Name and Telephone Number of Agency, if applicable)

 
__________________________________________________________
Date of Deposition
Under New Jersey Court Rule R. 4:14-5, if the officer recording a deposition is not a certified court reporter, then the witness must sign the deposition, unless the reading and signing of the deposition has been waived by stipulation of the parties.  If the reading and signing requirement has bot been waived, then the recording officer must request that the deponent appear at a stated time for the purpose of reading and signing the deposition transcript.
I hereby waive the reading and signing of the deposition transcript in the above-captioned matter, which was recorded by a non-certified court reporter (or temporary registered reporter), of the State of New Jersey.

 

 

Plaintiff/Petitioner/Attorney

Defendant/Respondent/Attorney

-----------------------------

-----------------------------

 

 

_____________Print Name

________________Print Name

 

 

______________Signature

________________Signature

 

 

 

 

_____________Print Name

________________Print Name

 

 

______________Signature

_________________Signature

 

 

 

 

_____________Print Name

________________Print Name

 

 

______________Signature

_________________Signature

 

 

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