Free Certification of Lost Verbatim Court Record - New Jersey

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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.

3.

I, in 1.

, employed by the State of New Jersey as a County, on this date of On the date of to obtain for (check one) (check one) , do hereby certify to the following: , I was requested by audio tape(s) review video tape(s) copying cd(s) transcription. court reporting notes

2. The request could not be completed because the court record was: (check one) missing inaudible damaged blank

3. The tape / CD number(s) is / are as follows: 1. 2. 4. The record was prepared by

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