Revised Form Promulgated by Notice 07/29/2019, CN 11862
New Jersey Judiciary
Request for Permission to Photograph, Electronically Record
or Broadcast a Court Proceeding
Completed forms must be submitted to the Trial Court Administrator or Designee for approval.
Date of Request
Name of Requestor
Telephone Number
Email Address
Permission is requested for:
Name of Case/Event
I request permission to use recording equipment for the following activities (check all that apply):
Video Recording Still Photography Live Streaming/Live Broadcast Audio Recording
Specific equipment to be used:
By signing this agreement below, I certify that:
1. I have read the attached Supreme Court Guidelines on Electronic Devices in the Courtroom and agree to
comply accordingly.
2. I am aware that if I fail to abide by the provisions of these guidelines, I may be subject to discipline by the
court and/or charged with contempt of court and brought before a judge for alleged violation of R 1:10-1,
punishable by a term of imprisonment not to exceed six (6) months or a fine of up to $1,000, pursuant to
N.J.S.A. 2C:43-3 and N.J.S.A. 2C:43-8 and may be charged with a violation of N.J.S.A. 2C:29-9 (Criminal
Contempt), as deemed appropriate by law enforcement.
3. Further, any electronic device used in willful violation of this order may be subject to seizure and forfeiture
pursuant to N.J.S.A. 2C:64-1.
4. If requested, I agree to provide pooling capabilities as required by the Supreme Court Guidelines on
Electronic Devices in the Courtroom.
Requestor Signature
Official Use Only
Request Denied Request Approved
Judge/Trial Court Administrator/Operations Manager (or designee)
Special Notations: