Here is the text we could read:
ate of Request:
D
APPLICATION TO BE APPOINTED/RESCINDED
AS A MAGISTRATE/WARRANT CLERK
nified Judicial System
orm C-72 (front) Rev 08/2011
U
F
State of Alabama
I. County of ____________________________________ (City or Town) of _______________________________________
Ms. Name _________________________________________ Social Security Number _________________________
Home Address_______________________________________________________________________________
Street City State Zip Code
Present Employer ____________________________________________________________________________
Employer’s Address __________________________________________________________________________
Mailing City State Zip Code
Employer’s Telephone Number __________________________________________________________________
Work Email Address____________________________________________________________________
Present Job Title and Duties ____________________________________________________________________
___________________________________________________________________________________________
II. Please APPOINT the following; or RESCIND appointment for the following:
(a) Municipal Court (b) District Court
Magistrate Magistrate
Warrant Clerk
Mr.
I certify that I meet all of the following requirements established by law for public officers, designated in numbers (1)
through (7) below, and that I am neutral and detached from law enforcement as mandated by decisions of the U. S. Supreme
Court designated in numbers (8) through (10) below:
(1) Is a resident of the State of Alabama,
(2) Is a qualified elector (must be 18 years of age) of the State of Alabama,
(3) Has never been convicted of treason, embezzlement of public funds, malfeasance in office, larceny, bribery, perjury or
any other crime punishable by imprisonment in the state or federal penitentiary, or, if the person has been convicted of
of one of the above offenses he/she has had his civil and political rights restored by pardon;
(4) Has never been adjudicated to be an idiot or insane;
(5) Does not have any unpaid judgment against him/her for any moneys received by him/her in any official capacity due to
the United States, this State, or any County or Municipality thereof:
(6) Is not a soldier, seaman, or marine in the regular army or navy of the United States; and
(7) Does not hold an office of profit under the United States or under this state;
NEUTRAL AND DETACHED REQUIREMENT:
(8) Is not affiliated with prosecution and police in any manner;
(9) Is not in any way assigned to police and subject to the supervision of the chief of police, prosecutor, etc.; and
(10) Is not connected with law enforcement activities in any way.
________________________________________________ ________________________________________________
Print or Type Name of Potential Appointee Signature of Potential Appointee
IMPORTANT NOTE: If the person being recommended for appointment as a magistrate or warrant clerk intends to serve as
both a district court magistrate or warrant clerk and a municipal court magistrate, the person, if appointed can be paid for only
one position; otherwise, the appointee will be considered as holding two offices of profit in violation of Article XVII, § 280,
Constitution of Alabama of 1901.
orm C72 (back) Rev 08/2011
III. I do attest to the fact that the heretofore requested appointee meets all of the above requirements established by law
for public officers, designated in numbers (1) through (7) above, and is neutral and detached from law enforcement as
mandated by decisions of the U. S. Supreme Court designated in numbers (8) through (10) above.
APPLICATION TO BE APPOINTED/RESCINDED AS MAGISTRATE/WARRANT CLERK
ote: If there is more than one district court judge in the county or more than one municipal court judge in the city or town, each judge
must attest that the person is qualified to be a magistrate or warrant clerk by signing below. In addition, the clerk of the district court or
the clerk of the municipal court must attest that the person is qualified to be a magistrate or warrant clerk by signing below.
Court Clerk ____________________________________ Signature _______________________________________
Court Mailing Address _________________________________________________________________________
Email Address ________________________________________________________________________________
Court Telephone Number _______________________________________________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Judge ____________________________________ Signature _______________________________________
Please Mail Completed Form To: Administrative Office of Courts
Email to joy.evans@alacourt.gov or fax to 334.954.3142
UJS Magistrate Program
300 Dexter Avenue
Montgomery, AL 36104-3741
F
N
Application to be Appointed-Rescinded as a Magistrate-Warrant Clerk
This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Alabama state courts.
To learn more about the project, check out our about page.
Downloads: You can download both the original form (last checked 2023-03)
and the machine-processed form with normalized data fields.
About This Form:
- Sourced from eforms.alacourt.gov (2023-03)
- Page(s): 2
- Fields(s): 35
- Average fields per page: 17
- Reading Level: Grade 12
- LIST Grouping(s):
GO-00-00-00-00.
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Identified Data Fields:
We have done our best to automaticly identify and name form fields according to our naming conventions.
When possible, we've used names tied to our question library. See e.g., user1_name.
If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.
Here are the fields we could identify.
date_request was Date of Request (0.60 conf)county was I County of (0.32 conf)city_town was City or Town of (0.34 conf)fill was fill_3 (0.36 conf)social_security_number was Social Security Number (0.38 conf)home_address was Home Address (0.41 conf)present_employer was Present Employer (0.50 conf)employers_address was Employers Address (0.34 conf)employers_telephone_number was Employers Telephone Number (0.46 conf)work_email_address was Work Email Address (0.38 conf)present_job_title_duties__1 was Present Job Title and Duties 1 (0.36 conf)present_job_title_duties__2 was Present Job Title and Duties 2 (0.36 conf)print_type_name_potential was Print or Type Name of Potential Appointee (0.40 conf)check_box__1 was Check Box1 (0.52 conf)check_box__2 was Check Box2 (0.37 conf)check_box__3 was Check Box3 (0.37 conf)check_box__4 was Check Box4 (0.37 conf)check_box__5 was Check Box5 (0.37 conf)check_box__6 was Check Box6 (0.37 conf)check_box__7 was Check Box7 (0.37 conf)court_clerk was Court Clerk (0.42 conf)court_mailing_address was Court Mailing Address (0.38 conf)email_address was Email Address (0.40 conf)court_telephone_number was Court Telephone Number (0.51 conf)judge__1 was Judge (0.39 conf)judge__2 was Judge_2 (0.45 conf)judge__3 was Judge_3 (0.45 conf)judge__4 was Judge_4 (0.45 conf)judge__5 was Judge_5 (0.45 conf)judge__6 was Judge_6 (0.45 conf)judge__7 was Judge_7 (0.45 conf)judge__8 was Judge_8 (0.45 conf)judge__9 was Judge_9 (0.45 conf)judge__10 was Judge_10 (0.45 conf)judge__11 was Judge_11 (0.45 conf)
We've done our best to group similar variables togther to avoid overwhelming the user.
Suggested Screen 0:
date_requestcountycity_townfillsocial_security_numberhome_addresspresent_employeremployers_addressemployers_telephone_numberwork_email_addresspresent_job_title_duties__1present_job_title_duties__2print_type_name_potentialcheck_box__1check_box__2check_box__3check_box__4check_box__5check_box__6check_box__7court_clerkcourt_mailing_addressemail_addresscourt_telephone_numberjudge__1judge__2judge__3judge__4judge__5judge__6judge__7judge__8judge__9judge__10judge__11
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