RANDOLPH COUNTY COURTHOUSE FACILITY

APPLICATION FOR COUNTY ISSUED IDENTIFICATION

ATTORNEY’S PARALEGAL OR SECRETARY

 

 

 

NAME OF APPLICANT_________________________________________________

                                                    LAST                                       FIRST                                                  M.

 

DATE OF BIRTH__________________

 

COMPANY NAME_______________________________PHONE#_______________

 

BUSINESS ADDRESS___________________________________________________

 

 

CERTIFICATE OF SPONSORING ATTORNEY

 

I certify the person above is a paralegal or secretary, and is employed in my organization, and meets the criteria described below:

1)                  The applicant visits the courthouse for paralegal and secretarial business

on a frequent basis.

2)                  I will take full responsibility for any violations of Courthouse Policy.

3)           What Day and Time Range will you need access into the courthouse?

________________________________________________________

________________________________________________________

 

I understand I must retrieve the I.D. badge and turn this into the County Security Office

when the person’s is no longer a paralegal or secretary in my organization.

 

Print Name of Sponsoring Attorney                                                                                          

 

Signature of Sponsoring Attorney                                                                                             

 

________________________________________________________________________

 

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 I understand this is a privilege, which can be rescinded in the sound discretion of issuing authority.

 

 

Signature of Applicant                                                     Date                                      

 

COST:            1. $15.00 PER CARD (INITIAL CARD)

                        2. $25.00 FEE FOR DUPLICATE CARD IF LOST OR STOLEN.