MFL-146 ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS) FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO UKIAH Courthouse, State and Perkins Streets 100 North State Street, Ukiah, CA 95482-0337 TEN MILE Branch Court 700 South Franklin Street, Fort Bragg, CA 95437 CASE NUMBER: PETITIONER: RESPONDENT: OTHER PARENT/CLAIMANT: REQUEST FOR TELEPHONIC APPEARANCE FOR EVIDENTIARY HEARING ­ Family Law (This notice must be filed with the court at least five (5) court days before the appearance.) HEARING DATE: TIME: DEP'T.: Do not file this form for a Case Management Conference appearance; you do not need approval to appear telephonically for a Case Management Conference. Per Local Rule 11.1, please contact CourtCall, LLC, directly at 1-888-88-COURT. 1. I, (name): am the petitioner/planitiff 2. I ask the court to allow me respondent/defendant other parent my witness(es), per the attached list, to appear by telephone on my scheduled court date of Request for Order Court Trial Review Other: on the 3. I have the following type of court hearing: following issues: 4. I would like the court to consider the following information in making it's decision whether to allow a telephonic appearance (check all that apply): a. b. I, or my witness, live or work outside of the state of California in (specify location): I, or my witness, live in courthouse where the hearing is set. County in California, which is miles from the above c. d. e. f. I, or my witness, am disabled. I, or my witness, can not afford to travel to Ukiah or do not have reliable transportation. I, or my witness, will be incarcerated or confined in (specifiy): Other: 5. I agree to be responsible for the costs and arrangements of this telephonic appearance. I understand if my request is approved, I must set up my telephonic appearance through, and pay all costs to, CourtCall, LLC, (an independent company), or obtain a signed order for a Fee Waiver prior to my hearing date. 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) (SIGNATURE) American LegalNet, Inc. www.FormsWorkFlow.com MFL-146 (rev 070116)