REQUEST FOR PROTECTION ON TRIAL LIST TO: Name and Address of Court: RE: Docket Number and Case Name: Docket No: Case Name: REQUEST OF: o PLAINTIFF o DEFENDANT This case is scheduled for trial list beginning: _________________________________________ . The parties' good faith credible estimate of the time required for the trial is ____________ days. The following requests for protection from trial are made for the following reasons: Dates(s) Requested REASON(S) o o o o o o Date: 1. 2. 3. 4. 5. 6. [Attorney for] o Plaintiff o Defendant A REQUEST FOR PROTECTION IS ALLOWED ONLY IF THE BOX TO THE LEFT OF THE REQUEST IS CHECKED (). A DISALLOWED REQUEST THAT RELATES TO A SCHEDULING CONFLICT WITH ANOTHER COURT MAY BE RECONSIDERED IF IT BECOMES MORE CERTAIN THAT THE CONFLICT WILL ACTUALLY OCCUR. Date: Judge/Justice DO NOT DOCKET CV-CR-163 Rev. 07/15 American LegalNet, Inc. www.FormsWorkFlow.com