LOCAL FORM FL-103 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY (This request will automatically be granted upon filing unless it is not filed 5 court days before the hearing) TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PLACER 10820 JUSTICE CENTER DRIVE P.O. BOX 619072 ROSEVILLE, CA 95661-9072 BILL SANTUCCI JUSTICE CENTER PETITIONER: RESPONDENT: FAMILY LAW TRIAL CONFIRMING CONFERENCE REQUEST FOR TELEPHONIC APPEARANCE TRIAL CONFIRMING CONFERENCE (TCC): 1. PARTIES AND ATTORNEYS. I am DATE: __________ Petitioner CASE NUMBER: TIME: __________ DEPT: __________ Respondent Other: _______________________ Attorney for: __________________________________________ 2. I ask the court to allow me to appear from landline telephone number ( ) _____________________________________ for the hearing set on (date) _____________ (time) _____________ in Department _______ of the above-named court. 3. I have filed this request at least five (5) court days before the hearing and will serve all parties or attorneys 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. 4. I understand that the court, in its discretion, may decide to terminate the telephone appearance if it determines during the hearing that I am not available at the calendar call or delay due to disruption, noise, misconduct, a communication problem, a technical problem, or other problem. 5. I understand the court may decide at any time to require my personal appearance and continue my hearing. 6. 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 have read the advisements of this form and I understand that the terms apply to me. 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 PETITIONER RESPONDENT ATTORNEY FOR OTHER FOR COURT USE ONLY Request for Telephonic Appearance is granted. Request is DENIED. Not filed 5 court days before the hearing. LOCAL FORM FL-103 [Rev. Aug 20, , , 2008] Clerk, by , FAMILY LAW TCC – REQUEST FOR TELEPHONIC APPEARANCE Deputy PAGE 1 OF 1 LOCAL RULE 30.16 American LegalNet, Inc. www.FormsWorkflow.com