COURT COUNTY . . . . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : MEDIA AGENCY (name): CHANNEL/FREQUENCY NO.: PERSON SUBMITTING REQUEST (name): ADDRESS: Index No. FOR COURT USE ONLY MC-500 : Plaintiff(s) : : : Calendar No. JUDICIAL SUBPOENA -againstTELEPHONE NO.: Insert name of court and name of judicial district and branch court, if any: TITLE OF CASE: : NAME OF JUDGE: Defendant(s) : ...................................................... MEDIA REQUEST TO PHOTOGRAPH, RECORD, OR BROADCAST CASE NUMBER: 1. PORTION OF THE PROCEEDINGS TO BE COVERED (e.g., particular witnesses at trial, the sentencing hearing, etc.): THE PEOPLE OF THE STATE OF NEW YORK TO 2. DATE OF PROPOSED COVERAGE (specify): . (File this form at least five court days before the proposed coverage date. If not feasible, explain good cause for noncompliance): GREETINGS: 3. TYPE OF COVERAGE WE COMMAND YOU, that all business and excuses Audiothe a.the Honorable and recorder TV camera d. at b. Still camera e. Other (specify): located at County of c. Motion picture camera 4. being laid aside, you and each of you attend before , Court in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjournedREQUESTS OR ANTICIPATED PROBLEMS date, to testify and give evidence as a witness in this action on the part of the SPECIAL (specify): 5. Your COSTS. This agency acknowledges that it punishable as a for increased court-incurred costs, if any, INCREASED failure to comply with this subpoena is will be responsiblecontempt of court and will make you liable to the resulting from this media coverage (estimate): $ issued for a maximum penalty of $50 and all damages sustained as a party on whose behalf this subpoena was result of your failure to comply. Amount unknown 6. PROPOSED ORDER. A completed, proposed order on Judicial Council form MC- 510 is attached (required by Cal. Rules of Witness, Honorable , one of the Justices of the Court, rule 1.150). Court in County, day of , 20 CERTIFICATION I certify that if the court permits media coverage in this case, all participating personnel in this media agency will be informed of and will abide by the provisions of California Rules of Court, rule 1.150, the provisions of the court order, and any additional restrictions imposed by the court. (Attorney must sign above and type name below) Date: ............................................................................. (TYPE OR PRINT NAME) Attorney(s) for (SIGNATURE) Telephone No.: (SUPERVISORY POSITION IN MEDIA AGENCY) A HEARING will be held as follows: NOTICE OF HEARING (A hearing Office and P.O. is optional.) Dept./Div.: Address Date: Address of the Court: Time: Room: Form Adopted for Mandatory Use Judicial Council of California MC-500 [Rev. January 1, 2007] Telephone No.: Facsimile No.: Clerk, by E-Mail Address: MEDIA REQUEST TO PHOTOGRAPH, RECORD,No.: Mobile Tel. OR BROADCAST , Deputy Cal. Rules of Court, rule 1.150 www.courtinfo.ca.gov American LegalNet, Inc. www.FormsWorkflow.com