ATTORNEY OR PARTY WITHOUT ATTORNEY TELEPHONE NO. FOR COURT USE ONLY ATTORNEY FOR (Name) SUPERIOR COURT OF CALIFORNIA, COUNTY OF EL DORADO MAILING AND STREET ADDRESS: CITY AND ZIP CODE: PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: APPLICATION FOR VIDEOCONFERENCE APPEARANCE AND ORDER 1. Party requesting videoconference appearance is: CASE NUMBER: Plaintiff/Petitioner (name): __________________________________________________. Defendant/Respondent (name): ______________________________________________. Other (name): _____________________________________________________________ 2. The conference, hearing, or proceeding is for (describe):_____________________________________________ _____________________________________________________________________________________________ 3. Videoconference appearance is requested for the following reason: _____________________________________________________________________________________________ _____________________________________________________________________________________________ 4. The proceeding is set on (date): ________________at (time): _____________ in Department: __________. Date: _________________________________ Attorney for Applicant (Signature) Date: ___________________________________ Applicant (Signature) COURT ORDER The Court has reviewed the request for videoconference appearance and any objections to the request and makes the following ruling: Request granted Request denied Request for videoconference appearance is set for hearing on (date): ________________at (time): _____________ in Department: __________. Dated: __________________ Judicial Officer Application and Order for Video Conference Appearance Local Form M-51 Optional Form New 05/09/16 American LegalNet, Inc. www.FormsWorkFlow.com