REQUEST TO INSTALL RECORDING AND/OR PHOTOGRAPHING EQUIPMENT PURSUANT TO RULES AND GUIDELINES FOR ELECTRONIC AND PHOTOGRAPHIC NEWS COVERAGE OF JUVENILE COURT PROCEEDINGS IN THE JUVENILE COURT OF __________________________ COUNTY, GEORGIA In the Interest of: CASE NUMBER___________________________ _________________________________ SEX______________________________________ A Child. DOB _____________________________________ Pursuant to Rule 26.2, Electronic and Photographic News Coverage of Juvenile Court Proceeding in the Uniform Rules for the Juvenile Courts of Georgia, the undersigned hereby respectfully requests permission to install equipment in courtroom _________________ in order to record, photograph or televise all or portions of the proceedings in the above-captioned case. Consistent with the provisions of the rules and guidelines, the undersigned desires to install the following described equipment: ____________________________________in the following locations: ________________________________________________. The proceedings that the undersigned desires to record, photograph or televise commence on ______________________. (date) Subject to direction from the court regarding possible pooled coverage, the undersigned wishes to install this equipment in the courtroom on ________________________. (date) The personnel who will be responsible for the installation and operation of this equipment during its use are: ____________________________________________________. (identify appropriate personnel) The undersigned hereby certifies that the equipment to be installed and the locations and operation of such equipment will be in conformity with the rules and guidelines issued by the court. This ________ day of __________________________________, 20____. ________________________________________ (Individual Signature) or ________________________________________ (Attorneys Signature) Representing: ____________________________ ________________________________________ (Address) ________________________________________ (Telephone Number) Rev. 01/2001 JUV-25