      HUBBARD COMMUNICATIONS OFFICE

Saint Hill Manor, East Grinstead, Sussex



    HCO POLICY LETTER OF 8 MARCH 1971



Remimeo

Examiner's Hat

Tech Services Hat

(Mimeo on 16 Substance paper)





         Auditor Admin Series 11

	

            EXAMINER'S FORM





(Important Note: This form is handled exactly as per HCO PL of 13 

Oct. 68RA, AND NO EXAMINER MAY EXAMINE UNLESS STAR-RATED ON THAT PL, 

and HCOB 5 Mar. 71, C/S Series 25, AND AN E-METER COURSE. Students 

and pcs can be very upset if this post's duties are not done 

correctly and org pc and course results ruined.)





After Session _____________________ Qual Div _______________(place)

Volunteered _______________________ Date __________________________

Medical ___________________________ Time __________________________

Pc or Pre-OT Name _________________________________________________

Last Grade Attained _______________________________________________

Grade, Course or Action Being Attested ____________________________

Pc's Statement (Write down exactly what pc says)

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

___________________________________________________________________

TA Position and any BD _____________ Pc Indicators ________________

State of Needle ___________________________________________________

F/N Indicated to Pc _______________________________________________

                 Signature of Examiner ____________________________





ROUTE THIS FORM TO TECH SERVICES WHICH ROUTES IT INTO THE FOLDER.



WHEN ILLNESS REPORTED, MAKE THIS OUT WITH A CARBON UNDER IT AND 

ROUTE ORIGINAL TO TECH SERVICES AND FOLDER, AND CARBON TO MEDICAL 

LIAISON OFFICER OR QUAL SEC.



RUSH ROUTE ANY ROLLER COASTER LATER REPORT OR SICK REPORT TO FOLDER 

TO PREVENT C/S ERRORS.





L. RON HUBBARD

Founder



Adopted as official

Church policy by

CHURCH OF SCIENTOLOGY

INTERNATIONAL



LRH:CSI:mes.rd.gm



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