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2659 Townsgate Rd, Suite 200
Westlake Village, CA 91361
(800) DCR-3003 • (818) 706-3749 • (805) 497-0046
Fax: (805) 497-0800
WORKERS COMP ...
ARBITRATION
COURT:
SUP
COUNTY ...
USDC
DISTRICT ...
CASE NO.
.
CAPTION:
APPLICANT(S)/PLAINTIFF(S),
vs
RESPONDENT(S)/DEFENDANT(S).
DEPONENT/
APPLICANT #1:
SET AT
ADDRESS:
START.
PHONE
END.....
DEPONENT/
APPLICANT #2:
SET AT
ADDRESS:
START.
PHONE
END.....
APPLICANT/ PLAINTIFF:
Law Firm:
By:
Address:
Phone:
FOR LITIGANT
Law Firm:
By:
Address:
Phone:
FOR LITIGANT
Law Firm:
By:
Address:
Phone:
FOR LITIGANT
Law Firm:
By:
Address:
Phone:
FOR LITIGANT
Law Firm:
By:
Address:
Phone:
Comments or Special Instructions:
Witness Name: #1
Plaintiff(s), EXHIBITS or Defendant (s)
1 A
2 B
3 C
4 D
5 E
6 F
7 G
8 H
9 I
10 J
Witness Name: #2
Plaintiff(s), EXHIBITS or Defendant (s)
1 A
2 B
3 C
4 D
5 E
6 F
7 G
8 H
9 I
10 J
Expedite
Expedite
Wit 1 Job No.
Wit 2 Job No.
I will store computer backup disc of transcript for two years.
Reporter Name
CSR No.
TAKEN ON:
CLIENT:
CLIENT FILE NO:
TRIAL DATE:
DUE TO CLIENT:
TAKEN AT:
EXAMINATION BY:
Pursuant to:
Stipulation
Notice
Subpoena
Sign Under :
Penalty of Perjury
Any Notary
Waived
Per Code
Deponent:
Plaintiff
Applicant
Defendant
Expert
Witness
Orig. and Copies
VOL.
START Page
END Page
CATEGORY:
BL
WC
PI
HRG/ARB
VIDEO?
YES
NO
NAME:
INTERPRETER
START
END
NAME
LANG
PERDIEM
EVE END TIME
SAT
ARB
$
PARKING
WAITING TIME HOW LONG
APPEARANCE
AFFIDAVIT
Rough ASCII
Live Note
Witness 1
EXHIBITS
Witness 2
EXHIBITS
Total Pgs.
Total Pgs.
Double-Sided
Double-Sided
Photos:
Yes
No
Photos:
Yes
No
Color Copies:
Color
B&W
Color Copies:
Color
B&W
Return Orig. to:
Return Orig. to:
Emailed
Hard Copy
Office Edit
Office Print
TOTAL PAGES of Transcript:
WIT 1.
WIT 2.
BILLING (SPECIAL?)
Witness 1
Witness 2
O&1
O&1
CC
CC
CC
CC
CC
CC
ORIGINAL TO:
WIT1:
WIT2:
STIPULATION PAGE(S)
:
WIT 1
WIT 2
AFTER SIG SEND TO
:
WIT 1
WIT 2
DELIVERY INSTRUCTIONS:
ORG
CC
CC
CC
CC
FOR OFFICE USE ONLY:
ORG SENT TO
VIA
ON
CC SENT TO
VIA
ON
CC SENT TO
VIA
ON
CC SENT TO
VIA
ON
CC SENT TO
VIA
ON
REPOSITORY TO
ON
ON
ON
ON
ON
Print
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2659 Townsgate Rd • Suite 200 • Westlake Village, CA 91361
Howard Hughes Parkway • Suite 500 • Las Vegas, NV 89128
Phone: (800) 327-3003 • 818-706-3749 • 805-497-0046
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