Page 1 of 1 Nebraska State Court Form REQUIRED REQUEST AND NOTICE FOR EXPANDED NEWS MEDIA COVERAGE OF PROCEEDINGS A Nebraska Supreme Court credentialed representative and/or reporter of the news media pursuant to Neb. Ct. R. 247 6-2001 et. seq. requests permission to use the following equipment in order to report on the proceedings listed above, using: (Must mark all that apply) Photographic equipment (List specific equipment): Television/Video camera (List specific equipment): 225Is requestor capable of providing a pool feed, if necessary?Yes No Sound recording equipment (List specific equipment): A device(s) for the limited purpose of tweeting or blogging during court proceedings within thecourtroom. (List specific equipment): on , 20 at.m. with Judge. (Date) (Time) (Judge presiding over the proceedings) A waiver of the advance notice deadline (7 days) is requested for the following reason(s): Iunderstand objections may be filed and the court has discretion to deny, limit or terminate expanded news media coverage. Request is made for this Notice to be sent to all parties ofrecord. I have read Neb. Ct. R. 247 6-2001 et. seq. and agree to abide by the same. (Signature) Reporter/Station Information: (Printed name) Media Outlet making request Network or Publisher Affiliation PhoneE-mail Address Send form to: Media Coordinator for the county and court where the hearing is to be held. Emails or fax numbers can be found on the Nebraska Judicial Branch website at https://supremecourt.nebraska.gov Copy to: Nebraska Supreme Court Public Information Officer nsc.courtservices@nebraska.gov, 225 Is requestor capable of providing if necessary? Yes No 225 Is requestor capable of providing if necessary? Yes No American LegalNet, Inc. www.FormsWorkFlow.com