600-00052 One Time Registration
INSTRUCTIONS
Form 600-00052: One-Time Registration for Media Individuals
Prior to submitting any application, read the superior court rule and Supreme Court rule regarding
devices and the accompanying administrative order.
Review the different applications and choose the correct form.
Submit application as indicated in the instructions.
1. This form allows media individuals without a permanent registration certificate to obtain permission to
record or transmit court proceedings for a single day or proceeding. See V.R.C.P. 79.2(d)(2)(B); V.R.A.P.
35(d)(2)(B); A.O. 46 § 1(d).
2. Each person requesting one-time registration must complete a separate application.
3. The form must indicate the date or proceeding the applicant seeks to record or transmit.
4. The applicant must sign the form.
5. The form should be presented to court staff. The proceeding will not be stayed pending a decision.
6. The applicant will be notified of a decision.
7. If the application is denied, the applicant can seek review by filing written notice with the Chief
Superior Judge (superior court) or the Supreme Court (Supreme Court).
600-00052 One Time Registration
STATE OF VERMONT
One-Time Registration for Media Individuals
Submit this application to court staff for consideration by the Presiding Judge of the unit, if the proceeding is in the
superior court, or the Chief Justice, if the proceeding is in the Supreme Court.
Name of Organization (if any): ____________________________________________________
Name of Person Requesting Authorization: ___________________________________________
I am requesting authorization for this date: _____________________________________________; or
for this proceeding (case name and hearing type): ___________________________________________
in (Unit/Division or Supreme Court): ______________________________________________________
I certify that:
1. I have read and understand the terms of Vermont Rule of Civil Procedure 79.2, Vermont Rule of
Appellate Procedure 35 and Vermont Supreme Court A.O. 46 and will comply with the provisions of
those rules.
2. I am a member of the Media, as defined in V.R.C.P. 79.2(b)(6), because I regularly gather, prepare,
photograph, record, write, edit, report, or publish news or information about matters of public
interest for dissemination to the public in the following publication(s) or broadcast news outlet(s).
(Describe your work):
____________________________________________________________________
____________________________________________________________________
Signature: _________________________________________
Printed Name: ______________________________________ Date:
DECISION
(This section to be completed by the Presiding Judge of the unit, if the proceeding is in the superior court, and
by the Chief Justice, if the proceeding is in the Supreme Court.)
Authorization is:
Granted Denied
Signature: _________________________________________
Printed Name: ______________________________________ Date:
You have the right to seek review by filing written notice with the Chief Superior Judge (superior court) or
the Supreme Court (Supreme Court).
The applicant does not meet the definition of media
Other: