STATE OF MICHIGAN
CASE NO.
Party’s Request for Testimony of Witness(es)
TH
37
JUDICIAL CIRCUIT
Through Communications Equipment/
CALHOUN COUNTY
Referee’s Approval
Court Address: 161 E. Michigan Ave, Battle Creek, MI 49014
Court Telephone: (269) 969-6500
Plaintiff:
vs.
Defendant:
_______________________________/
__________________________________/
To:
Norman J. Fryer, Jr., Family Court Referee
Phillip Netz, Family Court Referee
Marc Crotteau, Family Court Referee
David Makled, Family Court Referee
I am the Plaintiff Defendant in the above action. This case is scheduled for a hearing before the
assigned Referee on ____________________________
at _________ am/pm
Date
Time
I am requesting that the Court allow my testimony witness testimony* for the above hearing
through the use of communications equipment (telephone) pursuant to MCR 3.215(D)(3), due to the
following circumstances: *Note: If request is for witness testimony, include name of witness.
________________________________________________________________________________
(State reason for request)
________________________________________________________________________________
COLLECT CALL: If approved, I or the witness will be available at the scheduled time and
may be reached by placing a COLLECT** call to _____________________________.
Area Code
Phone number
**THIS PHONE NUMBER MUST BE ABLE TO ACCEPT COLLECT CALLS!
CALLING CARD: If approved, I or the witness will be available at the scheduled time and
may be reached by using a CALLING card number. The calling card number is
_____________________. The pin number is ___________. The telephone number to call
is ___________________.
Area Code
Phone number
I understand that, pursuant to MCR 2.402(B), this request must be made AT LEAST 7 days prior to
the scheduled hearing for which I am requesting communications testimony, and that a copy of this
request must be served on all interested parties.
_____________________________________
_________________________________
Signature
Date
ALLOWANCE OF TESTIMONY
I hereby approve testimony of the Plaintiff Defendant Witness at the above hearing
through the use of communications equipment pursuant to MCR 3.210(4).
Request is denied.
____________________________________
_____________________
Circuit Court Family Division Referee
Date
FOC#302 (rev 03/2015 bg)