FORM 1 STATE OF ILLINOIS IN THE CIRCUIT COURT FOR THE TWENTY-THIRD CIRCUIT ____________________________ V. ____________________________ ) ) ) Case No.__________________ REQUEST FOR EXTENDED MEDIA COVERAGE NOW COMES the undersigned, who states as follows: 1. This request is being made on behalf of all news media organizations. 2. Extended media coverage is requested in connection with the trial or proceeding scheduled to take place on the _______ day of ______________, 20_____, a.m./p.m. at the ________________ Courthouse in ________________, Illinois. 3. This request for extended media coverage is for the entirety of this trial or proceeding and all subsequent hearing dates. 4. The type of extended media coverage requested is as follows: (Include type of equipment and number of personnel): _____________________________________________________________________________________ _____________________________________________________________________________________ DRAFT 12/13 /16 This request for extended media coverage is filed (check the appropriate box): [ ] At least fourteen (14) days in advance of the proceeding identified above; or [ ] Less than fourteen (14) days in advance of the proceeding identified above because ___________________________________________________________________________________. 5. 6. Notice of this request needs to be provided to: Counsel of record:___________________________________________________ Parties appearing without counsel:______________________________________ The Court Media Liaison:_____________________________________________ 7. I will abide by all the provisions of the Policy for Extended Media Coverage in Circuit Courts of Illinois and the 23rd Circuit Court Administrative Order on Extended Media Coverage and perform all duties required of me, if I am designated as the Media Coordinator. 8. I nominate the following person be designated as Media Coordinator:__________ _____________________________________________________________________________. Respectfully submitted, _____________________________ Signature ______________________________________ Printed Name News Media Organization:_______________________________ Address:______________________________________________ Telephone:___________________________________________ E-Mail Address:_______________________________________ American LegalNet, Inc. www.FormsWorkFlow.com