Form E IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS _______________________, Plaintiff v. _______________________, Defendant ) ) ) ) ) CIVIL ACTION Case No: _____________________ PARTY RESPONSE TO REQUEST FOR VIDEO RECORDING The following proceeding in this case is eligible for video recording under the Judicial Conference Committee on Court Administration and Case Management Guidelines for the Cameras Pilot Project in the District Courts (http://www.uscourts.gov/Multimedia/cameras.aspx): ___________________________________________________________________________ (Describe proceeding.) Date of scheduled proceeding: ____/____/______ Check the appropriate box(es) below and on the next page to indicate whether you consent to the recording of some or all of this proceeding: I consent to the recording of this entire proceeding. I consent to the recording of some, but not all, of this proceeding. Explain the specific parts of the proceeding for which you do not consent to recording, and your reasons: Part of Proceeding __________________________ __________________________ __________________________ Reason Not to Video Record _________________________________________ _________________________________________ _________________________________________ Form E Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com I consent to the recording of this proceeding. The following witnesses have expressed a preference not to be recorded, for the reasons indicated. Name the specific witnesses for whom you do not consent to recording, and explain your reasons: Witness Name __________________________ __________________________ __________________________ Reason Not to Video Record _________________________________________ _________________________________________ _________________________________________ I do not consent to the recording of any of this proceeding. Explain your reasons for not consenting: _____________________________________________________________________ I submit and sign this form on behalf of the party or parties I represent and the witnesses I may call. ________________________________ Signature ________________________________ Name (please print) & Bar # _____________________________ Position (e.g., attorney of record) ____/____/______ Date Form E Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com