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ACCESS TO CASE RECORDS OF THE MINNESOTA JUDICIAL BRANCH b t4-1;- to. )D- S -10-1P.111-1040 d GOVERNMENT ACCESS <br />Minnesota Government Access (MGA)I <br />MINIsaiSOTA <br />JUDICIAL BRANCH <br />Request Form for Minnesota Government Access (MGA) <br />Login Account <br />Copyright © 2005-2014 by the State of Minnesota, State Court Administrator's Office, AH Rights Reserved, <br />rile 196 <br />Minnesota Government Access ("MGA") provides electronic access to appropriate court records and documents fora government <br />agency through login accounts for the Individual agency users. MGA is an Internet browser -based application that requires no <br />Installation. <br />This Request Form is intended for an entire government agency, not an individual user. Use this form to make the initial <br />request for the new user accounts for the agency; not to make changes to an existing account. Only one agency may apply per <br />form. <br />Complete this entire form. You may clearly print, type, or complete electronically. Tip: This Is a Microsoft Word document. To <br />complete this form electronically: 1) save to your computer, 2) press Tab to fill out the form fields, 3) save and attach to a -mall <br />submission, <br />Today's Date: <br />09/02/15 <br />nformation (ALL FIELDS ARE REQUIRED} <br />County/City/State Agency: <br />City of Little Canada <br />NOTE: Identify your agency name as it Is written on the front page of <br />the Master Subscriber Agreement attached to this request. If you <br />are creating a new agreement, Identify your agency name at Its <br />highest level, such as Anoka County Attorney's Office, City of <br />Willmar, or Minnesota Department of Public Safety. <br />Mailing Address: <br />515 Little Canada Road East <br />Little Canada, MN 55117 <br />County (If Statewide Agency, enter "State"): <br />Ramsey <br />Agency Account Manager (Agency Contact) <br />Name: Joseph A. Kelly <br />Position/Title; City Attorney <br />Phone: 651-224-3781 <br />E-mail: <br />Jkelly@kellyandlemmons,com <br />Agency Director/Manager Authorizing Request (If different than <br />Agency Account Manager) <br />Name: <br />Position/Title: <br />Phone: <br />Email: <br />ser Account Information <br />Individual users (authorized employees, contractors, student attorneys) will have Individual logins and passwords for MGA. Ali <br />authorized individual users In your agency who will be using MGA must register for an MGA user account before this <br />request is submitted. <br />• Attach a completed Court Administrative Tool (CAT) that lists all user information to this request. <br />NOTE The signed, attached Master Subscriber Agreement requires that you keep a record of everyone who will be given access to an <br />MGA account <br />irriduai User;AcknouwedgmentForm <br />All authorized Individual users in your agency who will be using MGA must complete an Individual User Acknowledgment Form <br />before this request Is submitted. Please provide a copy of all signed Individual User Acknowledgement Forms with this request, <br />NOTE: The signed, attached Master Subscriber Agreement requires that all individual users sign the User Acknowledgment Forms prior to <br />using MGA and that you keep a record of all User Acknowledgment Forms. <br />Revised October 2, 2014 (ITD_SP_0371g) <br />Page 1 of 2 <br />