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ACCESS TO CASE RECORDS OF THE MINNESOTA JUDICIAL BRANCH ►►►►►►►►►►►►►►►► GOVERNMENT ACCESS <br /> | Minnesota Government Access (MGA)| <br /> <br /> <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, All Rights Reserved. <br />This form is for use by Minnesota government agencies only. <br /> <br />2. Applicant Information (ALL FIELDS ARE REQUIRED) <br />Today’s Date: <br /> <br />County/City/State Agency: <br /> <br />Mailing Address: <br /> <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 />County (if Statewide Agency, enter “State”): <br /> <br />Agency Account Manager (Agency Contact) Agency Director/Manager Authorizing Request (if different than <br />Agency Account Manager) <br />Name: Name: <br />Position/Title: Position/Title: <br />Phone: Phone: <br />E-mail: E-mail: <br /> <br />3. Individual User Account Information <br />Individual users (authorized employees, contractors, student attorneys) will have individual logins and passwords for MGA. All <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 /> <br /> <br /> <br /> <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 /> <br />4. Individual User Acknowledgment Forms <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 /> <br /> <br /> <br /> <br /> <br /> <br /> <br />1. Instructions to Applicant <br />Minnesota Government Access (“MGA”) provides electronic access to appropriate court records and documents for a 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 e-mail <br />submission. <br />Revised October 2, 2014 (ITD_SP_0371g) Page 1 of 2