FL-679 GOVERNMENTAL AGENCY (under Family Code, §§ 17400, 17406) OR ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT: CASE NUMBER: REQUEST FOR TELEPHONE APPEARANCE HEARING DATE: TIME: DEPT., ROOM, OR DIVISION: See Information Sheet--Request for Telephone Appearance (form FL-679-INFO) for deadlines for filing this request, filing any opposition, and service. 1. I, (name): respondent/defendant other parent attorney for (name): other (specify): in this case. local child support agency (LCSA) representative , am the petitioner/plaintiff If there are domestic violence or other confidentiality issues in this case and you do not want your home or work phone number made publicly available, provide another phone number in item 2 below. You will need to participate from this phone number, unless other options are available under local rules or procedures. Check with your court clerk. to appear from telephone number ( ) 2. I ask the court to allow me set on (date) (time) in Department of the above-named court. 3. I would like the court to consider the following information in making its decision whether to allow a telephone appearance (check all that apply). (Note: The court can still deny your request, even though boxes are checked.) a. I live or work outside the state of California in (specify location): . live in I County in California, which is miles from the above courthouse where the hearing is set. b. c. d. e. f. g. 4. a. I am disabled. I am asking not to appear personally because of domestic violence. I will be incarcerated or confined in (specify): prison, jail, or other institution at the time of the hearing. The LCSA makes this request on behalf of (insert reason for request at g) Other (specify): I have filed this request at least 12 court days before the hearing and have served or will serve all parties (the local child support agency and other parent) and attorneys, if any, with this form by personal delivery, fax, express mail, or other reasonable means to ensure delivery by the close of the next court day after filing this form. If there are financial issues to be decided, a current Income and Expense Declaration (form FL-150) or a Financial b. Statement (Simplified) (form FL-155) has been filed and served on all parties along with the request or response to the hearing. (Read page 2 of form FL-155 to determine which form to use.) c. I have complied with all requirements of the local rules of court for other supporting proof. 5. I agree to be responsible for the costs and arrangements of this telephone appearance if required by the court. If this telephone appearance request is made by a LCSA on behalf of a party, parent, or witness, that person may be responsible for costs of the telephone appearance as may be required by the court. Number of pages attached: 6. 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) Form Adopted for Mandatory Use Judicial Council of California FL-679 [Rev. January 1, 2012] (SIGNATURE) Page 1 of 3 Family Code, § 4251; Cal. Rules of Court, rules 3.670, 3.1304, 3.1308, 5.324 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com REQUEST FOR TELEPHONE APPEARANCE (Governmental) FL-679 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT: CASE NUMBER: ADVISEMENT 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. I will provide my driver's license number, social security number, or other information to verify my identity when asked by the court staff or conference call provider. I understand that the court may not have videoconferencing capabilities. I understand and assume the risk that I may not be able to personally see or inspect the pleadings, documents, or evidence; the witnesses' facial reactions, demeanors, or hand gestures; or other visual or nonverbal aspects of the hearing. 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 personal or telephone appearance and the court may decide my case based on the documents I filed for this hearing. 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, misconduct, a communication problem, a technical problem, and other problems. I understand that the court may decide at any time to require my personal appearance and continue my hearing. I assume the risks of cost, time, delay, repeated telephone calls, technical failure, a wrong number, and other problems that could arise out of this telephone appearance. I understand that if problems occur, the matter may proceed without my personal or telephone appearance and the court may decide my case based on the documents I filed for this hearing. I understand that if I need to present documents, present witnesses, cross-examine 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 served and filed on time before the hearing so that the court, the local child support agency, and the other parent have an opportunity to know about my case. I understand that the court may require me to make all arrangements for the telephone appearance at my own expense. 2. 3. 4. 5. 6. 7. 8. 9. 10. I understand that if I have low income or no income, I may apply for a waiver of any filing fees and a possible waiver of conference call vendor fees. If the court makes collec