Fill and Sign the Reported Stenographically or by Electronic Recording Means Form

TRANSCRIPT REQUEST FORM Pursuant to Chief Justice Directive 2005-03 (Amended July 1, 2015)This transcript request form must be completed by any person requesting a transcript from any court proceeding whether reported stenographically or by electronic recording means. Upon completion of this Transcript Request Form, please follow established policies and procedures for each judicial district which outline instructions for ordering transcripts, tapes or digital recording disks. This information is available on the Colorado Judicial website at www.courts.state.co.us Transcript Rates Ordinary Rate (State Paid) (within 30 days or per C.A.R. 11(a)&(d))Original Price ($3.00/page) Copy to State Agency ($0/page)Copy to Non-State Agency Party ($.75/page) Add’l Copy to Non-Party ($.75/page)Expedited Rate(within 10 days)Original Price ($3.75/page) Copy to State Agency ($0/page)Copy to Non-State Agency Party ($.75/page) Add’l Copy to Non-Party ($.75/page)Ordinary Rate (Private Paid) (within 11 days and up to 30 days, or as agreed upon by the requesting party and transcriber)Original Price ($3.00/page)Copy to State Agency ($.75/page)Copy to Non-State Agency Party ($.75/page)Hourly Rate (within 2 hours of adjournment)Original Price ($6.25/page)Copy to State-Agency ($1.25/page)Copy to Non-State Agency Party ($1.25/page) Add’l Copy to Non-Party ($1.25/page)Daily Rate(following adjournment and prior to normal opening of court the following day)Original Price ($5.25/page) Copy to State-Agency ($0/page)Copy to Non-State Agency Party ($1.00/page) Add’l Copy to Non-Party ($1.00/page)Duplication Fees (only if allowed by district)$35.00/tape or CDTranscripts will not be started and the time limits stated for delivery of transcripts will not commence until satisfactory payment arrangements are made for required fees. To avoid any disputes as to dates or payment, a dated receipt for payment shall be provided to requester.ORDERING PARTY INFORMATION1. Full Name (Include Firm Name)2. Phone Number3. Email Address4. Mailing Address5. City6. State7. Zip CodeTRANSCRIPT INFORMATION8. Case No.9. Case Caption (i.e. People v. John Doe)10. County11. Judicial Officer/Division12. Order For  Appeal CivilUpcoming Hearing/Trial onNon-Appeal CriminalOther13. Transcript Requested (Specify portion(s) and date(s) of proceeding(s) requested)Portion(s)Date(s)Time(s)Portion(s)Date(s)Time(s) Entire Proceedings Testimony (Specify Witness) Jury Voir Dire  Opening Statements  Closing Arguments Pre/Post Trial Hearing (Spcy) Jury Instructions  Judge's Ruling ORDERING INFORMATION14. Date of Request/Date Transcript Needed15. Rate Category: Ordinary (State Pd.) Expedited HourlyOrdinary (Private Pd.)Daily16. Orig. + Copies (Spcy #)_ + = 17. Certification (By signing below, I certify that I will pay all charges.) Signature: Date: FOR COURT USE ONLY (ERO = Electronic Records Operator)Date of RequestTranscript To Be Prepared By (Name of Court Rpt/ERO)Date Court Rptr/ERO ContactedNotice of Estimate to Ordering Party Date # of pages Date of Deposit/Satisfactory Payment ArrangementsDeposit Paid$ Bal Pd/Refund$ Date Transcript Mailed/DeliveredI certify that the preparation of this transcript is in compliance with the fee & format prescribed by CJD 05-03. Reporter/ERO Signature DateJDF 4 R7/15 TRANSCRIPT REQUEST FORM