MFL-147 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS) FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO UKIAH Courthouse, State and Perkins Streets 100 North State Street, Ukiah, CA 95482-0337 TEN MILE Branch Court 700 South Franklin Street, Fort Bragg, CA 95437 PETITIONER: CASE NUMBER: RESPONDENT: OTHER PARENT/CLAIMANT: HEARING DATE: TIME: DEP'T.: ORDER re: REQUEST FOR TELEPHONIC APPEARANCE FOR COURT HEARING ­ Family Law Request for telephonic appearance for a court hearing filed by petitioner/planitiff respondent/defendant other parent GRANTED pursuant to the following terms: - is: Party is responsible for all costs and arrangements of the telephonic appearance which must be arranged through CourtCall (an independent company). - If the matter involves child custody and visitation, Party understands that the matter will be referred to mediation before a hearing is set and that Party must file a separate Request for Telephonic Appearance for Family Law Mediation (local form MFL-148) for review and approval by the Family Court Mediator for telephonic participation in mediation. Party understands that receiving approval for a telephonic appearance for their court hearing does not mean that approval has been granted for telephonic participation in the mediation session. DENIED ­ reason(s) as stated: Date: Judge of the Superior Court of California, County of Mendocino MFL-147 (rev 070116) American LegalNet, Inc. www.FormsWorkFlow.com