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§10.4.3

Checklists

Checkboxes with labels—where does each box go?

✅ NormativeSettled. The requirement holds as written.📄 Page ruleCan be applied from the page alone.Read §10.4.3 in the RFC ↗

The requirement

Each checklist item MUST be rendered box-first — the box before its printed label — and items MUST be nested under their group label. A group-level box MUST stay on its group's line. A form's group labels MUST NOT be promoted to document headings.

When it applies

A list of items each led by a box, sometimes under a group label that carries a box of its own. Nothing is being answered; the page is a to-do list or a required-documents list.

Sketch of the printed page — layout, not output
☐ Division 9 rate filings
    ☐ Transmittal information
    ☐ Certification (EC-1, residential property)
    ☐ Rate filing checklist (Exhibit A)

- [ ] **Division 9 rate filings**
  - [ ] Transmittal information
  - [ ] Certification (EC-1, residential property)
  - [ ] Rate filing checklist (Exhibit A)

A checklist item has no caption above it and no label before its box, so neither shape of The Key-Value List (§10.3.2) applies unchanged: it is not an option of a captioned group, and it is not a labelled field with a box in the value position. It is rendered box-first, like an option line.

Reading the examples. Each one pairs a source page with the output the rule expects. ✅ Sample: the rule applies. ❌ Counter-sample: it looks like it applies and does not, or a rendering got it wrong. A non-conforming output, in red, is shown only for contrast. … marks content left out of an excerpt.

Examples

01

✅ SampleThe rule applies

a filing checklist

Two bold group labels, each with a large box before it; ten and one indented items under them, each with a smaller box. Four labelled fill-ins sit in the top-right corner.

Source page
Checklists — a filing checklist. Source page.
Expected output

PC420 | 0116

Halvana Department of Insurance Regulation Property/Casualty Rate Filing Exhibit

  • Company Name: [blank]
  • Company NAIC Number: [blank]
  • Company Filing Number: [blank]
  • Line: [blank]

Exhibit A – Rate Filing Checklist (Page 2 of 2)

  • [ ] Division 9 rate filings
    • [ ] Transmittal information
    • [ ] Certification (EC-1, residential property)
    • [ ] Certification (EC-2, personal automobile)
    • [ ] Rates and supplementary rating information
    • [ ] Filing memorandum
    • [ ] Rate filing checklist (Exhibit A)
    • [ ] Rate change information (Exhibit C)
    • [ ] SERFF rate data (Exhibit B, if not filing in SERFF)
    • [ ] Policyholder impact information (for owner-occupied homeowners and personal automobile)
    • [ ] Average rate change by county (Exhibit County, for owner-occupied homeowners)
  • [ ] Division 10 additional requirements for certain county mutual insurers
    • [ ] Additional information for certain county mutual insurers (Exhibit CM)

Halvana Department of Insurance Regulation | www.hdir.halvana.example

2/2

Checklists · Source page

a filing checklist

Checklists — a filing checklist. Source page.
02

✅ SampleThe rule applies

boxes on section headings of a court form

PAYMENT OF CLAIM:, DENIAL OF CLAIM and COUNTERCLAIM: each carry a box before the label; the denial line then prints two more boxes inside its sentence (hearing {or} jury trial). Each label stays on its box's line, with what it governs nested beneath it; none becomes a heading.

Source page
Checklists — boxes on section headings of a court form. Source page.
Expected output · excerpt

…

  • [ ] PAYMENT OF CLAIM:

    Proof of payment (including fees and costs) to Plaintiff is attached (or proof that the requested property was returned to Plaintiff)

    Total Amount Paid: $ [blank] (or) Describe property and method of return: [blank]

  • [ ] DENIAL OF CLAIM

    I deny the plaintiff's claim and demand a [ ] hearing {or} [ ] jury trial*

    *Claim must total more than $750 (including prejudgment interest, fees, and costs) to request a jury trial

  • [ ] COUNTERCLAIM:

    I make the following counterclaim* against the plaintiff for $[blank]

    *Counterclaims must arise out of the same transaction or event as the plaintiff's claim.

    I, Defendant, claim that on or about (date) [blank], the above-named plaintiff owed me the amount claimed because [blank], and this amount is still due.

    If the amount is the value of property that you believe should be given to you, describe the property: [blank]

…

Checklists · Source page

boxes on section headings of a court form

Checklists — boxes on section headings of a court form. Source page.
03

✅ SampleThe rule applies

an option group laid out in two rows

Audit history … is followed by five boxed options set in three columns over two rows, with no ids. With no ids to follow, the options are read row by row, like any unnumbered grid of equal items.

Source page
Checklists — an option group laid out in two rows. Source page.
Expected output · excerpt

…

All A&E Contract Information:

  • Total participation amount $[blank] on all Regional and RRP contracts for Architectural & Engineering services that the consultant received in the last three fiscal periods.
  • The number of regions in which the consultant does business is[blank].
  • Years of consultant’s experience with Cost Rule Part 31 is[blank].
  • Audit history of the consultant’s current and prior years (if applicable)
    • [ ] Cognizant ICR Audit
    • [ ] Local Gov’t ICR Audit
    • [ ] Department ICR Audit
    • [ ] CPA ICR Audit
    • [ ] Regional Gov’t ICR Audit

…

Markdown
<!-- … -->


All A&E Contract Information:


    

  • Total participation amount $[blank] on all Regional and RRP contracts for Architectural & Engineering services that the consultant received in the last three fiscal periods.
    • 

  • The number of regions in which the consultant does business is[blank].
    • 

  • Years of consultant’s experience with Cost Rule Part 31 is[blank].
    • 

  • Audit history of the consultant’s current and prior years (if applicable)
      

    • [ ] Cognizant ICR Audit
      • 

    • [ ] Local Gov’t ICR Audit
      • 

    • [ ] Department ICR Audit
      • 

    • [ ] CPA ICR Audit
      • 

    • [ ] Regional Gov’t ICR Audit
      • 

    

    • 


<!-- … -->
Checklists · Source page

an option group laid out in two rows

Checklists — an option group laid out in two rows. Source page.

Blank lines used as check marks

A short printed line that stands where a box would be, in front of a checklist item, is a checklist control: it MUST be rendered [ ] (or [x] when marked). [blank] MUST be used only when the line asks for a written value.

04

✅ SampleThe rule applies

blank lines used as check marks

Every item is led by ___ rather than a box, including the indented * SCHEDULE A … * SCHEDULE J run. A REFERENCE column of citations sits at the right margin under its own printed header, aligned to the items, so each section is a two-column table whose item cells hold the checklist.

Source page
Checklists — blank lines used as check marks. Source page.
Expected output · excerpt, second section

…

COMPLETION OF CASE FILING REFERENCE
  • [ ] OFFICIAL FORM 6 - SCHEDULES
    • [ ] * SUMMARY OF SCHEDULES
    • [ ] *STATISTICAL SUMMARY OF CERTAIN LIABILITIES [Individual Debtors Only]
    • [ ] * SCHEDULE A - REAL PROPERTY
    • [ ] * SCHEDULE B - PERSONAL PROPERTY
    • [ ] * SCHEDULE C - PROPERTY CLAIMED AS EXEMPT
    • [ ] * SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS
    • [ ] * SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
    • [ ] * SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
    • [ ] * SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES
    • [ ] * SCHEDULE H - CODEBTORS
    • [ ] * SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S)
    • [ ] * SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)
    [Signed by debtor(s)-perjury]
 Bkr. Rule 1007
LBR 1007-1
  • [ ] STATEMENT OF FINANCIAL AFFAIRS [Official Form 7]
    [Signed by debtor(s)-perjury]
 Bkr. Rule 1007
LBR 1007-1
  • [ ] CHAPTER 13 STATEMENT OF CURRENT MONTHLY INCOME AND COMMITMENT PERIOD
    [Official Form 22C] [Signed by debtor(s) under penalty of perjury]
 Bkr. Rule 1007
  • [ ] CHAPTER 13 PLAN AND MOTIONS and NOTICE TO SECURED CREDITOR (if applicable)
    [Signed by debtor(s); and dated; Plan must be on approved form which is available on the Court's website, accompanied by proof of service.; New objection deadline should be 14 days prior to confirmation hearing date.]
 Bkr. Rule 3015
LBR 3015-2 & 5005-1
  • [ ] DISCLOSURE STATEMENT OF ATTORNEY or DISCLOSURE OF COMPENSATION OF BANKRUPTCY PETITION PREPARER (Form V-280)
    [Signed by attorney or bankruptcy petition preparer]
 Bkr. Code § 110, Bkr. Rule 2016
LBR 2016-1(B)

[dvck13 ver. 03/15]

Checklists · Source page

blank lines used as check marks

Checklists — blank lines used as check marks. Source page.

A grid of checklists

A ruled grid whose cells each hold a checklist is a table: the cells are the table's content, and each cell's checklist is rendered as list items inside the cell.

05

✅ SampleThe rule applies

nine checklists in a grid

A three-by-three ruled grid, each cell a centred title over a list of boxed items, some with an italic qualifier. The cells are the table's content and the boxes are the cells' content.

Source page
Checklists — nine checklists in a grid. Source page.
Expected output
  • Case No.: [blank]
DIVORCE (OR ANNULMENT) WITHOUT CHILDREN
  • [ ] Petition
  • [ ] Summons
  • [ ] Preliminary Injunction
  • [ ] Notice of your Rights about Health Insurance Coverage
  • [ ] Notice Regarding Creditors
  • [ ] Spousal Maintenance Worksheet (if applicable)
 LEGAL SEPARATION WITHOUT CHILDREN
  • [ ] Petition
  • [ ] Summons
  • [ ] Preliminary Injunction
  • [ ] Notice Regarding Creditors
  • [ ] Spousal Maintenance Worksheet (if applicable)
 LEGAL DECISION-MAKING, PARENTING TIME, AND CHILD SUPPORT
  • [ ] Petition
  • [ ] Summons
  • [ ] Preliminary Injunction
  • [ ] Child Support Worksheet
  • [ ] Parenting Plan
  • [ ] Order and Notice to Attend Parent Information Class
ESTABLISH CHILD SUPPORT
  • [ ] Petition
  • [ ] Child Support Worksheet
  • [ ] Order to Appear
 PATERNITY OF AN ADULT CHILD
  • [ ] Petition
  • [ ] Summons
 ESTABLISH PATERNITY, LEGAL DECISION MAKING, PARENTING TIME, AND CHILD SUPPORT
  • [ ] Petition
  • [ ] Summons
  • [ ] Preliminary Injunction
  • [ ] Child Support Worksheet
  • [ ] Parenting Plan
  • [ ] Order and Notice to Attend Parent Information Class
MODIFY SPOUSAL MAINTENANCE OR SPOUSAL MAINTENANCE AND CHILD SUPPORT
  • [ ] Petition to Modify Support
  • [ ] Affidavit of Financial Information (of filing party)
  • [ ] Affidavit of Financial Information (blank one for other party)
  • [ ] Order to Appear
  • [ ] Spousal Maintenance Worksheet
 MODIFY CHILD SUPPORT (“SIMPLIFIED MOD”)
  • [ ] Petition to Modify
  • [ ] Child Support Worksheet
 MODIFY CHILD SUPPORT (“STANDARD MOD”)
  • [ ] Petition to Modify
  • [ ] Child Support Worksheet (from order you wish to change)
  • [ ] Affidavit of Financial Information (of filing party)
  • [ ] Affidavit of Financial Information (blank one for other party)
  • [ ] Order to Appear

© Superior Court of Borvika in Arlefen County ALL RIGHTS RESERVED

Page 3 of 6

CK18f 091725

Checklists · Source page

nine checklists in a grid

Checklists — nine checklists in a grid. Source page.

A box printed before an id

The order of box and id. A lettered or numbered item can print its box before its id: ☐ (h) The crime of …. It MUST be rendered box first, then the escaped id — - [ ] \[h\] The crime of … — so that the box always opens the line whether or not an id follows it.

06

✅ SampleThe rule applies

a box before a lettered id

Items (h) to (k) each print a box, then the letter id, then a paragraph with blanks inside it. Each line opens with the box, then the escaped id: - [ ] \[h\].

Source page
Checklists — a box before a lettered id. Source page.
Expected output · excerpt

…

Notification Relating to Specific Crimes: If any of the Following Paragraphs Apply, the Box Should Be Checked and the Paragraph Initialed by the Defendant.

  • [ ] [h] The crime of [blank] has a mandatory minimum sentence of [blank] days in jail and a $[blank] fine, plus costs and assessments.
  • [ ] [i] The crimes of solicitation, indecent exposure, permitting solicitation, and patronizing have a mandatory assessment of $[blank]. The court may reduce up to 2/3 of this assessment if the court finds that I am not able to pay the assessment. HRC 12A.410.
  • [ ] [j] If this crime involves patronizing, a condition of my sentence will be that I not be subsequently arrested for patronizing or commercial sexual abuse of a minor. The court will impose crime-related geographical restrictions on me, unless the court finds they are not feasible. If this is my first offense, the court will order me to attend a program designed to educate me about the negative costs of patronizing.
  • [ ] [k] This plea of guilty will result in suspension or revocation of my driving license or privilege by the Department of Licensing for a minimum period of [blank]. The Department of Licensing may impose a longer period of suspension or revocation based upon my record of conviction. The Department of Licensing shall

…

Checklists · Source page

a box before a lettered id

Checklists — a box before a lettered id. Source page.

Look-alike

Two similar pages that call for different decisions. Synthetic, for teaching the boundary.

A short line or box before each item. A checkbox, or a blank to write in?

A

A blank line used as a check mark

___ Transmittal information
___ Certification (EC-1)
___ Rate filing checklist
The convention

[ ] or [x]. It is a checkbox by function.

B

A blank that takes a value

24. Describe the incident:
______________________
______________________
The convention

[blank]. One per answer field, however many ruled lines.

Look at the structure. What evidence changes the answer?

More

Rule id forms-checklists · forms checkboxes