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Appendix

Included in this section are the form examples connected to the previous chapters. These forms are meant to be viewed as examples yet are designed to meet the specific standards required by State Court Administration. Please review these documents in their entirety. As always, State Court is available to assist you when needing additional information and/or explanation regarding the processes and procedures that this manual is providing.

Processing Examples

EXAMPLE of a TITLE PAGE
EXAMPLE of a DECLARATION OF RECORDS CUSTODIAN FORM
EXAMPLE of an IMAGING OPERATOR’S CERTIFICATE
EXAMPLE of a TARGET ID PAGE
EXAMPLE of a START PAGE
EXAMPLE of an END OF ROLL PAGE
EXAMPLE of a PAGE MISSING INSERT
EXAMPLE of MISC. INFORMATION
EXAMPLE of a TRACKING SHEET
EXAMPLE of a CHECK-OFF LIST
WEEDING POLICY -EXAMPLE #1
WEEDING POLICY -EXAMPLE #2
EXAMPLE of a QUALITY ASSURANCE SHEET

Sample Certification Request Form

Sample Approval Letter

Destruction Certification Forms

DESTRUCTION CERTIFICATION FORM-IMAGING
DESTRUCTION CERTIFICATION FORM-MICROFILM

Court Rules

Trial Rule 77. Court records (excerpts)
Administrative Rule 6. Court Records Media Storage Standards
Administrative Rule 9. Access to Court Records [Excerpts]
Administrative Rule 10. Security of Court Records [Excerpts]

PDF Reference Documents

Destruction Certification Form - Imaging
Destruction Certification Form - Microfilm
Imaging Certification Form

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