Court Reporting Careers1 Step 12 Step 23 Step 3Name* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Phone*HomeCellSecondary PhoneHomeCellFaxEmail* Preferred Method of ContactEmailPhoneDoes your phone get email? Yes NoReferred by: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 DigitalWhat type of steno machine do you use?Are you a member in good standing of the National Court Reporters Association (NCRA)? Yes NoNCRA 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 OtherCSR 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 DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2029202820272026202520242023202220212020201920182017Notary NumberStatePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2029202820272026202520242023202220212020201920182017Notary NumberStatePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2029202820272026202520242023202220212020201920182017Notary NumberStatePlease SelectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificExpiration DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year2029202820272026202520242023202220212020201920182017Notary NumberREPORTING 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?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)?YesNoPERSONAL 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:PhoneThis field is for validation purposes and should be left unchanged.
