Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO Petitioner: Case Number: DO Respondent: Regarding the following court date: What kind of court date is this? Date: REQUEST TO [ ] APPEAR OR [ ] TESTIFY TELEPHONICALLY Time: I ask the court to let me attend telephonically because: [] I am prevented from attending in person because: [] It would be a burdensome expense for me to attend in person because: [] Other: I understand I will be responsible for scheduling and paying for the call. [] [] [] The other party/The other party's attorney does not object to this Request. The other party/The other party's attorney objects to this Request. I don't know whether the other party/the other party's attorney objects to this Request. I tried to find out by: Certificate of Service: I will [ ] mail or [ ] hand-deliver a copy of this document on the day I file it to the other party/the other party's attorney at this address: Date: Signature: Revised May 2013 American LegalNet, Inc. www.FormsWorkFlow.com Coconino County Law Library and Self-Help Center Forms