GA, SD, WV
Multistate
PI-PLSP-CTSUPP 09/11 Page 1 of 3
COVER-PRO
SM
APPLICATION
COURT REPORTER SUPPLEMENT
1. Full name of the Applicant Firm:
2. How many years has the Applicant been court reporting: years
3. What forms and/or methods of court reporting does the Applicant perform:
Stenographic
Electronic
Voice Writing
Communication Access Real-Time Translation
Other (specify):
4. If the Applicant performs stenographic and/or voice writing transcriptions, have you
created and do you maintain a customized computer dictionary for keystroke code and/or
voice file translation?
Yes
No
5. If the Applicant performs voice writing transcriptions, does(do) the state(s) in which you
operate require licensure?
Yes
No
If yes, did you take and pass the state exam and/or obtain the CVR, CM and RVR
certifications required?
Yes
No
6. What is the Applicant’s annual caseload: cases
7. Please indicate the percentage of the Applicant’s gross annual revenue from the last fiscal period involving:
Reporting Transcription
Depositions: % Medical: %
Government Hearings: % Court: %
Arbitration Hearings: % Technical: %
Trials: % Other: %
Appeals: %
Sworn Statements: %
Conference/Webcasts: %
Other Real Time Audio Reporting: %
Other (describe): %
Translation/Captioning
Document Management
Language Interpreting Verbal: % Document Copying: %
Language Interpreting Written: % Document Scanning and Imaging: %
Online Cart / Broadcast Captioning: % Document Storage/Warehousing: %
Offline Cart/Captioning: %
Other: %
TOTAL MUST EQUAL
100%
