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