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Application For Third Party Use Of Court Facilities Form. This is a California form and can be use in San Diego Local County.
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Tags: Application For Third Party Use Of Court Facilities, ADM-236B, California Local County, San Diego
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO
APPLICATION FOR THIRD PARTY USE OF COURT FACILITIES
INSTRUCTIONS: Save, attach, and submit this form via e-mail to: Executive.Office@SDCourt.CA.gov. This e-mail
address can only be used to submit this form; any other correspondence will not be processed. Or return completed
application to the San Diego Superior Court – Executive Office, 220 W. Broadway, San Diego, CA 92101. Attach
additional pages if necessary and all supporting documentation. Submit at least 30-days in advance of the desired date of
use. See Policy for Third Party Use of Court Facilities (SDSC Form # ADM-236) for additional information.
1. Contact person:
Phone number:
Fax number:
Email:
Address:
2. Organization name:
Phone number:
Fax number:
Email:
Organization address:
Type of organization:
If the organization has a court employee contact, please answer the following:
Employee name:
Phone number:
Job title:
Court location:
3. Court location requested:
Kearny Mesa
County Courthouse
Juvenile Court
Hall of Justice
East County Division
Family Court
North County Division
Madge Bradley
South County Division
Other (Explain):
Number of courtrooms requested:
Number of conference rooms requested:
No
Will the number of rooms needed change for each day of this request?
Yes. (If the number of rooms needed
is different for each day of this request, attach a sheet of paper listing each date and the requested amount of rooms.)
Is use of the Jury Lounge requested:
No
Yes. If "yes," time: (from)
a.m./p.m. (to)
a.m./p.m.
Any other area of the court requested:
Date(s) / Time(s) requested (complete a new form for each month, but if recurring, see below):
Date:
Time (from):
a.m./p.m. (to)
a.m./p.m.
Date:
Time (from):
a.m./p.m. (to)
a.m./p.m.
Date:
Time (from):
a.m./p.m. (to)
a.m./p.m.
Is this request recurring?
SDSC ADM-236B (Rev. 12/08)
No
Yes. If "yes," please explain:
APPLICATION FOR THIRD PARTY USE OF COURT FACILITIES
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4. Expected number of participants: Court employees:
Non-Court employees:
Describe the intended use of the facility:
Date:
Electronic printed signature
EXECUTIVE OFFICE USE ONLY
Date Received / Initials:
Request for use of facilities is:
Denied
Granted
/
Granted with modifications or restrictions listed below:
Availability of requested room(s)/courtroom(s) to be determined.
Date:
Executive Officer Signature
Comments:
SDSC ADM-236B (Rev. 12/08)
APPLICATION FOR THIRD PARTY USE OF COURT FACILITIES
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