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MSBA Courthouse Badge Application
Print
this form, complete, and return to the MSBA with a check for $5.00.
Badges
are issued at the Sheriff’s Office, not at MSBA Headquarters.
Name:
_________________________________________________
Phone:
_________________________________
We
will send correspondence to the address that is recorded in the MSBA
database.
If you need to update your records with us, contact our Membership Department
directly.
Date
Admitted to MD Bar: ____________________________
MSBA Account #:_______________________________
Check
“new” OR indicate old badge number in one of the other
3 options:
NEW:
____ RENEWAL: old
badge #________
LOST:#(if
known) _________
STOLEN:#(if known) ________
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I WISH TO PICK UP MY BADGE AT THE FOLLOWING SHERIFF'S OFFICE:
Allegany,
Anne Arundel*, Baltimore County,
Baltimore City, Calvert, Caroline, Carroll, Cecil,
Charles*, Dorchester, Garrett*, Howard*, Kent,
Montgomery,
Prince George’s, Queen Anne’s, Wicomico Counties.
*These
Sheriff’s Offices can take your photo when you pick up
your badge.
NOTE: BADGES ARE ONLY ISSUED IN THESE JURISDICTIONS
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Security
Statement
I,
_____________________________, agree to the following six provisions
as stated:
(Signature)
1. I
will always present my badge for inspection by Security Officers
when entering Court Buildings and will comply with federal, state & local
laws as well as courthouse security procedures, as they are intended
to protect court personnel and the public.
2. I
will not carry weapons or dangerous materials of any kind into
Court Buildings.
3. I
will surrender my badge when requested to do so by any officer
of the Sheriff’s Security Division, for violation of said
provisions or upon expiration of badge.
4. I
will not lend, give or transfer my badge to any other person.
5. I
will immediately return my badge to the MSBA upon my
resignation, suspension, disbarment
or decertification by the MD
Court of Appeals.
6. I
will immediately notify the MSBA & the issuing Sheriff’s
Dept. if my badge is lost or stolen.
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