Approved, SCAO Original - Court 1st copy - Defendant 2nd copy - Plaintiff 3rd copy - Media JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE STATE OF MICHIGAN REQUEST AND NOTICE FOR FILM AND ELECTRONIC MEDIA COVERAGE OF COURT PROCEEDINGS CASE NO. Court address Court telephone no. Plaintiff(s)/Petitioner(s) Defendant(s)/Respondent(s) People of the State of Michigan Attorney name, bar no., address, and telephone no. or plaintiff /petitioner address and telephone no. if not represented by an attorney v Attorney name, bar no., address, and telephone no. or defendant/ respondent address and telephone no. if not represented by an attorney Civil Criminal Probate In the estate/matter of REQUEST I request permission to record broadcast m. on Time Date Signature Name (type or print) Firm name Telephone no. Date courtroom proceedings in this case using . video audio photographic media, scheduled at NOTICE TO PARTIES/ATTORNEYS A request to allow film or electronic media coverage of the above proceeding has been filed. Supreme Court Administrative Order 1989-1 requires that the request be honored unless the trial judge exercises discretion to terminate, suspend, limit, or exclude the coverage. I certify that on this date, I provided notice of this request to the parties or their attorneys indicated above personally. by ordinary mail. by telephone. Date Court clerk/Register American LegalNet, Inc. www.FormsWorkFlow.com Sup Ct AO 1989-1 MC 27 (2/89) REQUEST AND NOTICE FOR FILM AND ELECTRONIC MEDIA COVERAGE OF COURT PROCEEDINGS