COURT DECONGESTION OFFICER

ACTIVITY LOG
Name

Month Year

Court Station

Branch

Judge

Signature

Clerk of Court

Signature

M/DD/YYY

Activities

Clerks 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 employers refusal to renew my contract, or to immediately
terminate my services without recourse.

Prepared by:
_________________________

(Signature over Printed Name)