IN THE CIRCUIT COURT OF THE FIRST JUDICIAL CIRCUIT IN AND FOR OKALOOSA COUNTY, FLORIDA Case No. ______________________ ________________________________ Plaintiff/Petitioner vs. _______________________________ Defendant/Respondent PERMISSION TO USE E-MAIL Provide your email address below to receive a copy of your Orders, Judgments Notice of Hearings or other written communications from the court or clerk of court and by electronic mail.* By completing this form I am authorizing the Court and the Clerk, of Circuit Court to send copies of orders/judgments, notices or other written communications to me by email. I will ensure the software filters have been removed from my computer, so it does not interfere with my ability to receive any of the above documents. I will file a written notice with the Clerk, if my current email address changes. Plaintiff Name (print) Plaintiff Name (signature) * email address (print clearly) Date *You will not need to provide a stamped self-envelope, if you provide your email address. American LegalNet, Inc. www.FormsWorkFlow.com