Attorney or Party without Attorney (Name, Address, Telephone No., Bar No.) Attorney for (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA Civil & Family Law Courthouse, Family Law Division 3055 Cleveland Avenue Santa Rosa, CA 95403 Telephone: (707) 521-6500 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT/CLAIMANT: REQUEST FOR TELEPHONE APPEARANCE CASE NO: Hearing Date: Time: Dept: 1. I, (name) ________________________________________________________ , am the Petitioner/plaintiff Respondent/defendant Other parent Attorney for (name): ____________________ Other (specify): ___________________________________________ If there are domestic violence or other confidentiality issues in this case and you do not want your home or work phone number made publicly available, provide another phone number in item 2 below. You will need to participate from the phone number provided in item number 2. 2. I ask the court to allow me (name) ____________________ to appear from telephone number ( ) ___________ for the hearing set on (date) ____________ (time) ___________ in department ______ of the above-named court. 3. I would like the court to consider the following information in making its decision whether to allow a telephone appearance. (check all that apply) (NOTE: The court can still deny your request, even though boxes are checked) a. I live or work outside the state of California in (specify location): _____________________________________ b. I live in ___________ County in California, which is _____ miles from the above court where the hearing is set. c. I am disabled. d. I will be incarcerated or confined in (specify): _________________ prison, jail, or other institution at the time of the __________ hearing. e. Other (specify): 4. a. I have filed this request with the moving papers and have served or will serve all parties with this form along with the moving papers. (Responding party must submit Request for Telephone Appearance no later than (5) five calendar days after the date of service of the moving papers, along with Proof of Service on all parties) b. If there are financial issues to be decided, a current Income and Expense Declaration (Form FL-150) or a Financial Statement (Simplified) (form FL-155) has been filed and served on all parties along with the request or response to the hearing. (Read page 2 of form FL-155 to determine which form to use.) c. Good cause exists for late filing of this form per the attached Declaration. d. I have complied with all requirements of the local rules of court for other supporting proof. 5. I agree to be responsible for the costs and arrangements of this telephone appearance if required by the court. 6. Number of pages attached: ___________ I declare under penalty of perjury under the laws of the State of California that the foregoing and all attachments are true and correct. Date: _____________________________________________ ____________________________________________ (Type or Print Name) (Signature) ___________________________________________________________________________________________________ Local Form FL075 Adopted for Mandatory Use (Rev. 7/10; 7/11) REQUEST FOR TELEPHONE APPEARANCE Sonoma County Local Rule 9.6 American LegalNet, Inc. www.FormsWorkFlow.com