Lincoln Supp. L. R. form 3.181
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINCOLN
In re Public Access Coverage: | CERTIFICATE |
I, ___________________________, represent _________________________ and I desire to provide public access coverage in the following case:
Case Name: _______________________________
Case Number: ________________________________
I make the following representations:
1. I have read and will comply with UTCR 3.180.
2. I have read and will comply with Lincoln County Circuit Court's SLR 3.181.
3. I understand my permission to provide public access coverage can be immediately withdrawn if:
a. I violate the above described rules;
b. I violate any limitations imposed by the Court under the rules; or
c. The Court orders termination of the coverage.
____ __________
Date Signature
____________
Printed Name
Lincoln Supp. L. R. form 3.181