ATTORNEY OR PARTY WITHOUT AN ATTORNEY (N ame, State Bar number, and address): TELEPHONE NO: FAX NO. (Optional) EMAIL ADDRESS (Optional): ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA COUNTY OF SANTA CRUZ 1 Second Street, Room 300 Watsonville, CA 95076 Watsonville Branch PLAINTIFF/PETITIONER : DEFENDANT/RESPONDENT : OTHER PARENT/CLAIMAN T: REQUEST AND ORDER FOR TELEPHONE APPEARANCE (This notice must be filed with the court at least 10 days before the appearance) CASE NUMBER: DEPARTMENT: HEARING DATE: TIME: Do not file this form for a Status Conference appearance; you do not need approval. Please contact CourtCall directly Form Adopted for MANDATORY USE Superior Court of Santa Cruz County SUP CV 1093 1 1 / 02 / 18 REQUEST AND ORDER FOR TELEPHONE APPEARANCE Page 1 of 2 SUP CV 1093 1. I, (name): 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: 3. I have the following type of court hearing: Request for Order Receipt of Recommendations Review 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 of the State of California in (specify location): b. I live in county in California, which is miles away from the above courthouse where the hearing is set. c. I am disabled. d. I am asking not to appear personally because of domestic violence. e. I will be incarcerated or confined in (specify): prison, jail or other institution at the time of the hearing. 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 order that are not inconsistent with these orders remain in full force and effect. Dated: Judge of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com PLAINTIFF/PETITIONER : DEFENDANT/RESPONDENT : CASE NUMBER : Form Adopted for MANDATORY USE Superior Court of Santa Cruz County SUP CV 1093 1 1 / 02 / 18 REQUEST AND ORDER FOR TELEPHONE APPEARANCE Page 2 of 2 ADVISEMENTS REGARDING TELEPHONE APPEARANCE 1. I know that I can personally appear at this hearing, and I give up that right. I agree to be duly sworn upon request by the court clerk, holding up my right hand and agreeing under penalty of perjury under the laws of the State of California to tell the truth and nothing but the truth. 2. o verify my identity when asked by the court staff or conference call provider. 3. I understand and assume the risk that I may not be able to personally see or inspect the pleadings, gestures; or other visual or nonverbal aspects of the hearing. 4. I understand that if I do not make the proper arrangements for a telephone appearance as set out in local rules or in directions provided by the court, the matter may proceed without my persona l or telephone appearance and the court may decide my case based on the documents I filed for this hearing. 5. I understand that the court, in its discretion, may decide to terminate the telephone appearance if it determines during the hearing that a personal appearance would materially assist in the determination of the proceedings. Other reasons for terminating the telephone appearance could include my not being available at the calendar call, delay, questions about credibility, disruption, noise, misconduc t, a communication problem, a technical problem, and other problems. 6. I understand that the court may decide at any time to require my personal appearance and continue my hearing. 7. I assume the risks of cost, time delay, repeated telephone calls, technical f ailure, a wrong number, and other problems that could arise out of this telephone appearance and the court may decide my case based on the documents I filed for this hearing. 8. I understand that if I need to present documents, present witnesses, cross - examin e witnesses, or provide information that is not available at the hearing, it is my responsibility to ask the court to continue the hearing. The court may decide to grant or deny my request. I understand that any arguments or supporting proof should be se rved and filed on time before the hearing so that the court, and the other party(ies) involved have the opportunity to know about my case. 9. I understand that the court may require me to make all arrangements for the telephone appearance at my own expense. 10. I f there are financial issues to be decided, I understand that it is my responsibility to timely file with the court and serve on the other party(ies) all necessary and appropriate pleadings and documents, including: a. Income and Expense Declaration (form FL - 150) b. My pay stubs from the last two months or other proof of income . I have read and understand the Advisement Regarding Telephone Appearance section of this form and I understand that the terms apply to me. 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) To set up for a Telephone Appearance, please call CourtCall, a private company, at 888 - 882 - 6878, or www.courtcall.com, to make arrangements. You will need to have readily available your hearing date, your case number, and payment information. American LegalNet, Inc. www.FormsWorkFlow.com