Court Reporting Careers 1Step 12Step 2 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 FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Primary Phone* Home Cell Secondary Phone Home Cell This field is hidden when viewing the formFaxEmail* This field is hidden when viewing the formPreferred Method of ContactEmailPhoneThis field is hidden when viewing the formDoes your phone get email? Yes No Referred by:Emergency Contact Name*Emergency Contact Number*Please attach your rates Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 24 MB, Max. files: 3. EXPERIENCE, CERTIFICATIONS, LICENSES & NOTARIES:Number of Years ReportingThis field is hidden when viewing the formNumber of Years ReportingPlease enter a number from 1 to 100.This field is hidden when viewing the formWhat type of court reporting technology do you use? (Check all that apply) Steno Voice Digital This field is hidden when viewing the formWhat type of steno machine do you use?This field is hidden when viewing the formAre you a member in good standing of the National Court Reporters Association (NCRA)? Yes No This field is hidden when viewing the formNCRA Membership NumberThis field is hidden when viewing the formAre you a member in good standing of the National Verbatim Reporters Association (NVRA)? Yes No This field is hidden when viewing the formNVRA Membership NumberThis field is hidden when viewing the formAre you a member in good standing of the American Association of Electronic Reporters and Transcribers (AAERT)? Yes No This field is hidden when viewing the formAAERT Membership NumberThis field is hidden when viewing the formPlease list all certifications and licenses you currently hold: CSR RPR RMR RDR CRR RSA CVR CER CET CM MVR RVR RBC-M RCP-M Other Please list all certifications and licenses you currently hold:CSR State(s)Other CertificationsThis field is hidden when viewing the formPlease list all state and/or local court reporting associations of which you are a member in good standing:NOTARIES:Please list all states in which you are a notary or are authorized to administer the oath: REPORTING SOFTWARE/HARDWARE:Which type of court reporting technology do you currently use? Steno Voice Which CAT software are you currently using?This field is hidden when viewing the formDo you have a current support agreement? Yes No This field is hidden when viewing the formDo you have a scopist? Yes No This field is hidden when viewing the formProofreader? Yes No Which of the following do you provide:This field is hidden when viewing the formCoverage of remote proceedings Yes No This field is hidden when viewing the formCoverage of in-person proceedings? Yes No Coverage with domestic travel? Yes No Coverage with international travel? Yes No Realtime? Yes No This field is hidden when viewing the formDescribe your realtime set-upincluding hardware, software and connectivity:Primary Phone:Realtime streaming? Yes No This field is hidden when viewing the formDescribe your set-up including hardware, software and connectivityRough drafts? Yes No Rush delivery? Yes No Medical/technical? Yes No Timestamped Transcripts Yes No Hearings? Yes No Trials? Yes No Transcription from audio? Yes No WHAT WOULD YOU LIKE PLANET DEPOS TO KNOW ABOUT YOU?NameThis field is for validation purposes and should be left unchanged.
