COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. DEFENDANT’S REQUEST :FORM JUDICIAL SUBPOENA Plaintiff(s) -against: CASE NO:________________________________ CHARGES:_______________________________ : COURT DATE:____________________________ : I, ___________________________________, request the following: Defendant(s) : . .Recall .Bench .Warrant_______Continue. Arraignment________Set Aside Estreature______ ..... ..... ..................... .................. Continue Civil Traffic Hearing__________Continue Trial ___________Other __________ The reasons for my request are:______________________________________________ THE PEOPLE OF THE STATE OF NEW YORK ________________________________________________________________________________ ________________________________________________________________________________ TO ________________________________________________________________________________ ________________________________________________________________________ Defendant’s Address: ______________________________________________________ _________________________________________________Phone Number:________________ GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Under penalty of perjury, I hereby swear that the above information is true to the best of my , the Honorable at the Court knowledge and belief. Dated this ____day of _______________, 200__. located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed ________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the Defendant’s Signature Request GRANTED_____ Request DENIED _______ with this case continued to:________________________ will make you liable to Your failure to comply subpoena is punishable as a contempt of court and the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. DATE:___________ _____________________________________________ Judge’s Signature Defendant notified of Court’s Decision:___________________________________________the Witness, Honorable , one of the Justices of Date , 20 Clerk Court in County, day of How Notified: ( ) Phone ( ) Mail ( ) Person NOTE: Resolving problems due to missed court dates and granting requests for continuances are (Attorney must sign not the responsibility of the Clerk’s Office or the Judge’s Assistant. Theseabove and typehave no personnel name below) authority to cancel bench warrants or give new court dates. Attorney(s) for All requests to cancel bench warrants and to obtain new court dates must be in writing and submitted to the clerk. The clerk will forward same to the appropriate judge. The reasons for missing the court date or requesting continuance must be specifically stated in the request. Evidence confirming the reason (such as a letter from a doctor) should be attached. Office and P.O. Address cc: State Attorney Defendant Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com