Form F IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS _______________________, Plaintiff v. _______________________, Defendant ) ) ) ) ) CIVIL ACTION Case No: _____________________ REQUEST TO EXEMPT WITNESS(ES) FROM VIDEO RECORDING The proceeding described below has been approved by the parties and the presiding Judge for video recording under the Judicial Conference Committee on Court Administration and Case Management Guidelines for the Cameras Pilot Project and the Court's General Order Implementing the Pilot Project. ___________________________________________________________________________ (Describe proceeding.) Date of scheduled proceeding: ____/____/______ I hereby request that the testimony of the following witness(es) not be recorded during this proceeding: Witness Name ___________________________ ___________________________ ___________________________ Reason Not to Video Record __________________________________________ __________________________________________ __________________________________________ I submit and sign this form on behalf of the party I represent and the witnesses I may call. _____________________________ Signature _____________________________ Name (please print) & Bar # _____________________________ Position (e.g., attorney of record) ____/____/______ Date American LegalNet, Inc. www.FormsWorkFlow.com