Judicial Circuit Renewal Application

JUDICIAL CIRCUIT RENEWAL APPLICATION

This Judicial Circuit Renewal Application is submitted by Applicant Name: whose principal office is located at: and is submitted to Renewal Authority Name: whose office is located at: on this date:

RECITALS

WHEREAS, the Applicant operates and administers the judicial circuit known as Circuit Name: designated as Circuit Number: ; and

WHEREAS, the Applicant's current authorization is scheduled to expire on: and the Applicant seeks renewal of such authorization for continued exercise of judicial functions within the circuit; and

WHEREAS, the Renewal Authority requires documentation demonstrating the Applicant's continued compliance with applicable judicial standards, financial, administrative and ethical requirements prior to issuing a renewal;

NOW, THEREFORE, in consideration of the mutual covenants and certifications contained herein, the Applicant submits this application and certifies the statements and attachments made part of this Application are true and accurate.

1. APPLICANT INFORMATION

2. ELIGIBILITY AND REPRESENTATIONS

The Applicant hereby represents and warrants to the Renewal Authority as follows (check each box to attest):

The Applicant is in full compliance with applicable judicial ethics rules and there are no unresolved disciplinary matters that would materially affect the Applicant's authority.

The Applicant meets required caseload and performance standards established by the applicable jurisdiction and has submitted accurate caseload metrics for the reporting period.

The Applicant and its judges have completed required continuing education and training programs as mandated by the jurisdiction.

There is no pending litigation or administrative action that, if determined adversely, would materially impair the Applicant's ability to exercise judicial duties.

3. SUPPORTING DOCUMENTATION

The Applicant submits the following documents in support of this renewal application (check all that apply and attach copies):

Certificate of Good Standing / Judicial Commission Clearance

Recent Financial and Budgetary Report for the Circuit

Continuing Education / Training Certificates for Judicial Officers

Docket and Case Management Summary for the Reporting Period

4. RENEWAL TERM AND EFFECTIVE DATE

Requested renewal term (months): Effective date of renewed authorization:

5. FEES AND PAYMENT

Application fee amount (if applicable): Fee payment method:

Check Electronic Transfer Other

6. CERTIFICATION AND OATH

The undersigned, being duly authorized by the Applicant, certifies under penalty of perjury under the laws of the applicable jurisdiction that the information contained in this Application and all attachments is true, correct and complete to the best of the signatory's knowledge and belief. The Applicant agrees that any material misstatement or omission may be grounds for denial or revocation of renewal and for such other sanctions as the Renewal Authority may lawfully impose.

The Applicant further acknowledges that it will promptly notify the Renewal Authority of any material change in the facts or circumstances presented in this Application that occur prior to final action on the renewal.

7. NOTICES

All notices and correspondence related to this Application shall be sent to the addresses below unless a party provides written notice of a new address in accordance with the Notices clause.

8. AMENDMENTS; WAIVER; SEVERABILITY

No amendment to this Application shall be valid unless executed in writing and signed by an authorized representative of both the Applicant and the Renewal Authority. The failure of either party to insist upon strict performance of any provision of this Application shall not be construed as a waiver of any subsequent breach of the same or any other provision.

If any provision of this Application is held invalid or unenforceable by a court of competent jurisdiction, the remaining provisions shall remain in full force and effect and shall be construed so as to effectuate the intent of the parties as nearly as possible.

9. GOVERNING LAW

This Application and any determination or action taken pursuant to it shall be governed by and construed in accordance with the laws of the applicable jurisdiction in which the Renewal Authority exercises its authority, without regard to conflict of laws principles.

10. ENTIRE AGREEMENT; COUNTERPARTS

This Application, together with all attachments and exhibits referenced herein, constitutes the entire agreement between the Applicant and the Renewal Authority with respect to the subject matter hereof and supersedes all prior understandings and agreements, whether written or oral. This Application may be executed in counterparts, each of which shall be deemed an original and all of which together shall constitute one and the same instrument.

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