place where acknowledgment is taken
name(s) of person(s) who make acknowledgment
Signature of Notary Public
MDJ-004 (Rev. 08/25/2020)
APPLICATION FOR PARTY ACCESS TO MDEC CASES
Md. Rule 20-109(b)
1. Date of Application:
2. First Name:
3. Last Name:
4. Home Address:
5. Work Address:
6. Telephone Numbers: Home: Work: Cell:
7. Registered E-mail Address:
8. Cases to which you are requesting access: (For guardianship matters, “guardians” are considered parties to the case. Interested
persons, without guardianship status, are required to file a motion pursuant to Md. Rule 16-912 for additional access.)
☐
I am a named party in this case.
☐
I am a named party in this case.
☐
I am a named party in this case.
☐
I am a named party in this case.
☐ I am a named party in this case.
I solemnly affirm under the penalties of perjury that the contents of this document are true to the best of my knowledge,
information, and belief.
State of Maryland
County of (or City of Baltimore)
On this day of , 20 , before me, the undersigned officer, personally appeared
,
known to me (or satisfactorily proven) to be the person(s) whose name(s) is/are subscribed to within the instrument and
acknowledged that he/she/they executed the same for the purposes therein contained.
In witness hereof I hereunto set my hand and official seal.
Name of Notary Public typewritten or printed
(Notary Seal) Notary Public
My Commission expires:
(Court Use Only)
☐ Verified applicant’s party status
Application is:
☐ Approved ☐ Denied, status as a party not satisfactorily established
☐ Access to case number is denied, as the requestor is not the appointed guardian in the case.
Clerk to send approved application to ServiceNow (https://mdcourts.service-now
)
NOTE: The term party means plaintiff, defendant, counter, cross and third party plaintiff and defendant, petitioner and
respondent, show cause respondent, and the State of Maryland in a criminal case. Victims and other witnesses are NOT parties.