Fillable Form 600-00053: One-Time Authorization of Additional Person Representing (Vermont Judiciary)

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Form 600-00053: One-Time Authorization of Additional Person Representing (Vermont Judiciary)

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The Form 600-00053: One-Time Authorization of Additional Person Representing (Vermont Judiciary) form is 2 pages long and contains:

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600-00053 One Time Auth for Addtl Person
IN
STRUCTIONS
Form 600-00053: One-Time Authorization of Additional Person Representing Registered Media
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 an individual to receive one-time authorization to represent a media organization that
holds a permanent registration certificate. See V.R.C.P. 79.2(d)(2)(C); V.R.A.P. 35(d)(2)(C); A.O. 46
§ 1(e).
2. Each person must complete a separate application.
3. The applicant must certify and sign the form.
4. The form should be presented to court staff.
5. The applicant will be notified of a decision.
6. If the application is denied, the applicant can seek review by filing written notice with the Presiding
Judge (superior court) or the Supreme Court (Supreme Court).
STATE OF VERMONT
One-Time Authorization of Additional Person Representing Registered
Media Organization
Submit
this application to court staff for consideration by the superior court clerk of the unit, if the proceeding is in the
superior court, or to the Deputy Clerk of the Supreme Court, if the proceeding is in the Supreme Court.
You must attach:
• Identification
• A communication from an authorized individual of the registered media organization stating that
the applicant is authorized to act on behalf of the media organization
• A copy of the existing permanent media registration certificate for the organization
Name of Organization: ____________________________________________________
Name of Applicant: ___________________________________________
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:
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.
Signature: _________________________________________
Printed Name: ______________________________________ Date:
DECISION
(This section to be completed by the superior court clerk of the unit if the proceeding is in the superior court
or by the Deputy Clerk of the Supreme Court 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 Presiding Judge (superior court) or the
Supreme Court (Supreme Court).
600-00053 One Time Auth for Addtl Person
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ttachments
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Form 600-00053: One-Time Authorization of Additional Person Representing (Vermont Judiciary)

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Completed 30 July 2020

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