Fillable Form 600-00051: Permanent Registration for Media Organization/Individual: NSTRUCTIONS (Vermont Judiciary)

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Form 600-00051: Permanent Registration for Media Organization/Individual: NSTRUCTIONS (Vermont Judiciary)

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600-00051 Permanent Registration
I
NSTRUCTIONS
Form 600-00051: Permanent Registration for Media Organization/Individual
Prior to submitting any application, read the superior court rule and Supreme Court rule regarding
devices and the accompanying administrative order.
Review the different applications and choose the correct form.
Submit application as indicated in the instructions.
1. This form allows media organizations and individuals to obtain a permanent registration certificate.
See V.R.C.P. 79.2(d)(2)(A); V.R.A.P. 35(d)(2)(A); A.O. 46 § 1(b).
2. News organizations must file one form and name a primary registrant. The primary registrant must
certify and sign the form. The organization must list other persons authorized under the registration.
3. An individual (not associated with one organization) must complete and sign the form.
4. The completed form must be saved as a PDF and sent to jud.mediaregistration@vermont.gov.
5. The applicant will receive written notice of a decision by email.
6. The applicant will receive a certificate by email if the application is granted.
7. An applicant can seek review of a denial by filing written notice with the Supreme Court.
8. Registered organizations and individuals are listed on the Judiciary website at
www.vermontjudiciary.org/mediaregistration
9. All registrants (whether organizations or individuals) must update registration information, including
the list of persons authorized to act under the registration.
STATE OF VERMONT
Permanent Registration for Media Organization/Individual
Send completed application to: jud.mediaregistration@vermont.gov
Name of Organization (if any): ____________________________________________________
Name of Primary Registrant: _________________________ Title: _____________
Mailing address: _________________________ Telephone: ____________________________
Email Address of Primary Registrant: __________________________
Authorized Persons (list all persons authorized to act under this registration - please attach a separate sheet if
necessary)
Name
Title
Email Address
I, the primary registrant named above, certify that:
1. I have read and understand the terms of Vermont Rule of Civil Procedure 79.2, Vermont Rule of
Appellate Procedure 35 and Vermont Supreme Court A.O. 46 and will comply with the provisions of
those rules. I will ensure that all authorized persons for my organization have read and will comply
with those rules.
2. I am a member of the Media, as defined in V.R.C.P. 79.2(b)(6), because I regularly gather, prepare,
photograph, record, write, edit, report, or publish news or information about matters of public
interest for dissemination to the public in the following publication(s) or broadcast news outlet(s).
(Describe your work):
____________________________________________________________________
____________________________________________________________________
3. I will file an Amendment to Permanent Media Registration (600-00054) to update the contact
information for my organization or to update the list of authorized persons.
Signature: _________________________________________
Printed Name: ______________________________________ Date:
DECISION
(This section to be completed by the Court Administrator or designee)
Authorization is:
Granted Denied
Signature: _________________________________________
Printed Name: ______________________________________ Date:
If permission is denied, you have the right to seek review by filing written notice with the Supreme Court.
600-00051 Permanent Registration
The applicant does not
meet the definition of media
Ot
her: _____________________________________
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Form 600-00051: Permanent Registration for Media OrganizationIndividual: NSTRUCTIONS (Vermont Judiciary)

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Completed 30 July 2020

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