Chronological Case Summary (CCS) Entry Form

Court: ______________________________________

Date: ______________________

Case Number: _______________________________

_______________________________________________________
VS.
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The activity of the court should be summarized as follows in the Chronological Case Summary
(CCS) under the above case number:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
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A full text order for judicial signature is attached:
Submitted by Attorney for : (Plaintiff/Defendant)

Yes ______

No ______

________________________________________
Plaintiff

_______________________________________
_______________________________________

________________________________________
Defendant

_______________________________________
Attorney

________________________________________
Judge

Approval/Date: __________________________
Date Received/Entered: ___________________

Clerk: __________________________________

This form has been approved for use in compliance with Trial Rule 77 by the Division of State Court Administration.

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