COURT DECONGESTION OFFICER

ACTIVITY LOG

Month ⏐
Name
Year
Court Station Branch
Judge Signature
Clerk of Court Signature

Clerk’s
MM/DD/YYYY Activities
Signature

I hereby certify that the content of this activity log is true and correct to the best of my
knowledge. I understand and agree that any false information, misrepresentation, or
omission may be a justification for the employer’s refusal to renew my contract, or to
immediately terminate my services without recourse.

Prepared by:

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(Signature over Printed Name)