COURT AUDIO-VIDEO EQUIPMENT REQUEST FORM Scheduling Information Date: Time: Location: Contact Information Name Organization Work Phone Cell Phone E-Mail Address Requested Equipment Audio-Video Cart (DVD/VCR Player with LCD TV) CD/Cassette Player (portable) DVD Player Document Presenter (Elmo) Comments Signature I understand that that this document must be complete and submitted at least 2 court days in advance. Changes to scheduling informationuested equipment requires the submission of an amended format least 2 court days prior to the scheduled date. Name (printed) Signature Date Superior Court of California County of Merced American LegalNet, Inc. www.FormsWorkFlow.com