NAME OF APPLICANT_________________________________________________
LAST FIRST M.I.
DATE OF BIRTH__________________
Requirement at Time of Application
1) Completed Application
I understand this I.D. badge cannot be loaned to another individual. I will not allow a person without a badge to accompany me through the card swipe entrances or carry unauthorized items into the courthouse. I further understand it is my duty to secure this badge, and agree to contact Security immediately at 318-6774 if lost or stolen. I understand this is a privilege, which can be rescinded in the sound discretion of the issuing authority.
COST: THERE WILL BE NO CHARGE FOR COUNTY OR STATE
EMPLOYEE’S FOR THEIR initial CARD.
HOWEVER THERE WILL BE A $25.00 FEE FOR A
DUPLICAte CARD IF LOST OR STOLEN.