AO 104, Request for Examination of Report Filed by a Judicial Officer or Judicial Employee
In order for an applicant to be able to request an examination report that is filed by a judicial officer, he/she has to use the following application form in order to make that request.
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AO 10A (Rev 10/98)
REQUEST FOR EXAMINATION OF REPORT FILED BY
A JUDICIAL OFFICER OR JUDICIAL EMPLOYEE
In accordance with section 105 of the Ethics in Government Act o\
f 1978, as amended, I request that there be
made available to me for examination the report(s) of the following na\
med Judicial Officers or Judicial Employees:
NAME POSITIONCopy Requested
Yes No
NAMES
OF
REPORTS WHOSE
DISCLOSURE REPORTS
ARE
REQUESTED
ORGANIZATIONS OR PERSONS ORGANIZATION(S) OR PERSON(S)
ADDRESS
ON WHOSE
BEHALF THIS
REQUESTIS MADE
PROHIBITIONS I understand that the statute makes it unlawful to obtain or use this or\
these reports for: any unlawful purpose;
any commercial purpose other than by news and communication media for di\
ssemination to the general
public; determining or establishing of the credit rating of any individu\
al; or use, directly or indirectly, in the
solicitation of money for any political, charitable, or other purpose (\
5 U.S.C. App. 4 § 105(c))
I understand that whoever, in any manner within the jurisdiction of the\
executive, legislative, or judicial branch
of the Government of the United States knowingly and willfully falsifies\
, conceals, or covers up by any trick,
scheme, or device a material fact; makes any materially false, fictitiou\
s, or fraudulent statement or
representation; or makes or uses any false writing or document knowing t\
he same to contain any materially
false, fictitious, or fraudulent statement or entry, shall be fined not \
more than $10,000 or imprisoned not more
than five years, or both (18 U.S.C. § 1001).
I am aware of the prohibitions on the obtaining and use of this informat\
ion, as are stated above, and that this
request for examination is a matter of public record.
PERSON NAME
ADDRESS
MAKING OCCUPATION
REQUEST I certify under penalty of perjury that the foregoing is true and corre\
ct. (28 U.S.C. § 1746)
_______________________________________________ _______________\
____________________
SIGNATURE EXECUTED\
ON (DATE)Relevant article from our knowledge database A few important tests can be conducted to recognize these infections. Thus, this test isn't indicated as a single approach to recognize changes in the vaginal flora. It has to be related to different tests for a suitable assessment of changes in pregnant ladies.
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If a record of the specific medical care information requested isn't maintained by the physician in the requested form, the doctor isn't required to make a new record or reformulate an existent record to create the information that can be found in the requested form. On the other hand, the large number of pregnant adolescents is of concern as a result of risks linked with pregnancy inside this age group. More information can be found from the Membership Department. Thus, the info on inexistence of an earlier history of STI is doubtful. These findings aren't clearly erroneous.
Orders submitted without this info won't be processed. This process was described in detail previously. This internet process gives convenient charge card and electronic (ACH) payment choices. Consideration ought to be given about how this aim could be accomplished within the present monitoring framework outlined in the Disability Act. Thus, the issue was waived and we don't consider it on appeal. However, we have to raise the problem of jurisdiction sua sponte. This argument does not have any merit.