(If you have questions, see the instruction page)

• The top part is to be completed by the Judge’s Chambers

• Start dates will be confirmed with HR by the Judge’s Chambers
• The State pay periods begin on Wednesdays and ends ten days later on Tuesday.

• Complete the middle section – with your personal information

• For your address, you may want to use your permanent address where information will be sure to reach you.  Once your clerkship starts and you have a new address we can make a change at that time.

• If you were admitted to the Maryland Bar, please attach a copy of your Certificate.

• If you are currently a Maryland State employee, please attach a copy of your last pay stub.

• If you are transferring from one judge to another, please put your current judge’s name on the line.

• Be sure to sign and date the form.

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