This document is a case information record used by administrative offices of United States courts. It includes fields to log case details like the presiding judge, location of the proceeding, parties involved, whether it was a jury trial, and contact information for attorneys appearing for the government/plaintiff/debtor and defendant/creditor. The form allows recording of up to 4 microphones used during the proceeding.

1. AO 430
(Rev. 04/13)
ADMINISTRATIVE OFFICE OF THE UNITED STATES COURTS PAGE NO.
CASE INFORMATION RECORD
DATE TIME OPERATOR PHONE NUMBER TAPE NUMBERS/COUNTER DIGITS
FROM TO
CASE NUMBER PRESIDING JUDGE
DISTRICT OFFICIAL’S TITLE
G DISTRICT JUDGE G OTHER (Specify)
LOCATION G BANKRUPTCY JUDGE
G MAGISTRATE JUDGE
TYPE OF PROCEEDING JURY
YES G NO G
G PLAINTIFF G OTHER (Specify) G DEFENDANT G OTHER (Specify)
G DEBTOR G GOVERNMENT G CREDITOR
CHANNEL MICROPHONE
1
A. Presiding Judicial Official B.
(J)
2
A. Witness B.
(W)
3
A. Plaintiff/Debtor/Government B.
4
A. Defendant/Creditor B.
APPEARANCES FOR THE
GOVERNMENT/PLAINTIFF/DEBTOR DEFENDANT/CREDITOR
1. ATTORNEY NAME PHONE NUMBER 1. ATTORNEY NAME PHONE NUMBER
FIRM NAME FIRM NAME
FOR PLAINTIFF/DEBTOR: FOR DEFENDANT/CREDITOR:
ADDRESS ADDRESS
CITY STATE ZIP CODE CITY STATE ZIP CODE
2. ATTORNEY NAME PHONE NUMBER 2. ATTORNEY NAME PHONE NUMBER
FIRM NAME FIRM NAME
FOR PLAINTIFF/DEBTOR: FOR DEFENDANT/CREDITOR:
ADDRESS ADDRESS
CITY STATE ZIP CODE CITY STATE ZIP CODE
3. ATTORNEY NAME PHONE NUMBER 3. ATTORNEY NAME PHONE NUMBER
FIRM NAME FIRM NAME
FOR PLAINTIFF/DEBTOR: FOR DEFENDANT/CREDITOR:
ADDRESS ADDRESS
CITY STATE ZIP CODE CITY STATE ZIP CODE
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