Court Reporting Careers 1 Step 12 Step 23 Step 3 Name* Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary Phone*HomeCellSecondary PhoneHomeCellFaxEmail* Preferred Method of ContactEmailPhoneDoes your phone get email? Yes No Referred by:Please attach your rates Drop files here or Accepted file types: pdf, doc, docx. EXPERIENCE, MEMBERSHIPS & CERTIFICATIONS:Number of Years ReportingPlease enter a number from 1 to 100.What type of court reporting technology do you use? (Check all that apply) Steno Voice Digital What type of steno machine do you use?Are you a member in good standing of the National Court Reporters Association (NCRA)? Yes No NCRA Membership NumberAre you a member in good standing of the National Verbatim Reporters Association (NVRA)?YesNoNVRA Membership NumberAre you a member in good standing of the American Association of Electronic Reporters and Transcribers (AAERT)?YesNoAAERT Membership NumberPlease check each of the certifications you currently hold: CSR RPR RMR RDR CRR RSA CVR CER CET CM MVR RVR RBC-M RCP-M Other CSR State(s)Other CertificationsPlease list all state and/or local court reporting associations of which you are a member in good standing:NOTARIES:StatePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2030202920282027202620252024202320222021202020192018Notary NumberStatePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2030202920282027202620252024202320222021202020192018Notary NumberStatePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2030202920282027202620252024202320222021202020192018Notary NumberStatePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2030202920282027202620252024202320222021202020192018Notary Number REPORTING SOFTWARE/HARDWARE:Which CAT software and version are you currently using?Do you have a current support agreement?YesNoDo you have a scopist?YesNoProofreader?YesNoCAPABILITIES:Do you offer realtime?YesNoDescribe your realtime set-upincluding hardware, software and connectivity:Primary Phone:Do you offer text streaming?YesNoDescribe your set-up including hardware, software and connectivityDo you offer Rough ASCIIs?YesNoAre you comfortable with a 4-hour turnaround time?YesNoDo you offer remote deposition services through Zoom, WebEx, etc.?YesNoWhich of the following do you provide:Same day?YesNoDaily?YesNoMedical/technical?YesNoTimestamps?YesNoDepos by Phone?YesNoDo you have a speakerphone?YesNoCoverage for trials?YesNoCoverage for hearings?YesNoAre you willing to do remote work (transcription from audio)?YesNo PERSONAL PREFERENCES:Coverage Area:Willing to Travel?YesNoHow far and for what kinds of jobs?Type of Work:level of difficulty, specialty, etc.Restrictions:hours, weekends, holidays, types of jobs, etc.PROFESSIONAL REFERENCES“Please list at least two independent court reporters or agencies with whom you have worked, along with their email and/or phone numbers.” Reference 1:*Reference 2:*Reference 3:Reference 4:NameThis field is for validation purposes and should be left unchanged.
