Form Supcv-1093 - Request And Order For Telephone Appearance - Superior Court Of California, County Of Santa Cruz
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1
2ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS)
FOR COURT USE ONLY
TELEPHONE NO.:
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CRUZ
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER:
RESPONDENT:
CASE NUMBER:
OTHER PARENT/CLAIMANT:
DEPARTMENT:
HEARING DATE:
REQUEST AND ORDER FOR TELEPHONE APPEARANCE
(This notice must be filed with the court at least 10 court days before the appearance.)
TIME:
Do not file this form for a Status Conference appearance; you do not need approval. Please contact CourtCall directly
1.
I, (name):__________________________________________________________________________________________________
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□
□
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am the
petitioner/plaintiff
respondent/defendant
other parent
other:_______________________________________
2.
I ask the court to allow me to appear by telephone on my scheduled court date:__________________________________________
□
□
□
:
Receipt of Recommendations
Review
3.
I have the following type of court hearing
Request for Order
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Other: ________________________ on the following issues: _____________________________________________________
4.
I would like the court to consider the following information in making its decision whether to allow a telephone appearance (check all
that apply):
□
a.
I live or work outside the state of California in (specify location):__________________________
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b.
I live in ____________________-county in California, which is __________ miles from the above courthouse where the
hearing is set.
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c.
I am disabled.
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d.
I am asking not to appear personally because of domestic violence.
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e.
I will be incarcerated or confined in (specify):____________________________ prison, jail, or other institution at the
time of the hearing
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f.
Other:________________________________________________________________________
5.
I agree to be responsible for the costs and arrangements of this telephone appearance. I understand if my request is approved, I
must set up my telephone appearance through, and pay all costs to, CourtCall (an independent company).
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
______________________________________________
_________________________________________
(TYPE OR PRINT NAME)
(SIGNATURE)
ORDER
The Court approves the terms in this document and makes them court orders. All previous orders that are not inconsistent with
these orders remain in full force and effect.
Dated:
_____________________________________________
Judge of the Superior Court
____________________________________________________________________________________________________________
REQUEST AND ORDER FOR TELEPHONE APPEARANCE
SUPCV 1093 (New 1/13)
(Santa Cruz County Local Form) (Mandatory)
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