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UNITED STATES MARSHALS SERVICE DISTRICT OF MASSACHUSETTS

John Joseph Moakley United states Courthouse 1 Courthouse Way, Boston, Massachusetts

Take this signed form to CSOs at the Main Entrance
AUTHORIZATION FOR ELECTRONIC DEVICES AND PHOTOGRAPHIC EQUIPMENT
Request For/Name: (Filed by this name) Event Date: Purpose:
(Specify - Court/Function/Etc.)

Firm/Agency/Court: Event Location:
(Specify - Floor/Office/Courtroom)

Date of Request: Building Contact/Sponsor Info: Signature: _____ Office:

Time of Request:

Phone:

___

Please Check Each Equipment Block as Needed Audio Recording Device Video Recording Device Still Photographic Device Other__________________________ United States Marshals Service Authorization Approved:
(Designee)

Date:

Disapproved:
(U.S. Marshal/Designee)

Date:

Updated: 4/24/08