COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : : Plaintiff(s) (FOR COURT CLERK USE ONLY) : : Case name: Case number: Hearing date: Department: THE PEOPLE Index No. Calendar No. FL-681 CLERK CALENDAR COVER : SHEET JUDICIAL SUBPOENA -against- : Defendant(s) : ...................................................... Time: OF THE STATE OF NEW YORK TO Telephone Appearance Requested by: GREETINGS: Local child support agency: Moving party: Responding party: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court Witness/other: located at County of Notification in room of the court's the , on decision granting or denying the, request for a telephone appearance was given by: at any recessed day of 20 , at o'clock in the noon, and or adjourned date, to testify and give evidence as a witness in this action on the part of the Telephone Appearance Number: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Court-approved vendor: result of your failure to comply. Caller name: Witness, Honorable Court in County, Caller number: , one of the Justices of the day of , 20 Caller Identified by: Driver's license number (Do not write the number here.) (Attorney must sign above and type name below) Attorney(s) for Social security number (Do not write the number here.) Voice recognition Other (describe): Information taken or identification made by: Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Form Approved for Optional Use Judicial Council of California FL-681 [New July 1, 2005] Page 1 of 1 CLERK CALENDAR COVER SHEET FOR COURT CLERK USE ONLY American LegalNet, Inc. www.USCourtForms.com