Broadcasting, Televising, Recording or Photographing Court Proceedings

2. Pursuant to the policy of the Jefferson Circuit and Superior Court, the undersigned hereby request permission to use equipment in order to record, photograph, or televise all or portions of the proceedings of:
4. Caption of the Case:*
6. Cause Number:*
8. Date(s):*
12. The undersigned desires to use the following equipment:*
14. The proceedings that the undesigned desires to record, photograph, or televise commence on:*
15. Recording, photographing or televising will take place in:*

    1. Circuit Court
    2. Superior Court
17. The personnel who will be responsible for the operations of the equipment are:*
19. The undersigned hereby certifies that the undersigned is a member of the news media as defined in Comment 2 of Indiana Code of Judicial Conduct Rule 2.17, and the operation of the equipment and the conduct of personnel will be in conformity with the Jefferson Circuit and Superior Court's Policy for Broadcasting, Televising, Recording, or Photographing Court Proceedings.
21. Date of Request*
    Date of Request
23. Applicant Signature*
25. Agency Name:*
26. Position of Applicant:*
28. Address:*
30. Phone:*
31. Email:*
Leave This Blank:


33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit

* indicates a required field