COURT DECONGESTION OFFICER

ACTIVITY LOG

Name Month  Year

Court Station Branch

Judge Signature

Clerk of Court Signature

M/DD/YYY Activities Clerk’s 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:

_________________________
(Signature over Printed Name)