D.R.L. §75-j . At a term of the Family Court of the State of New York, held in and for the County of , at New York, on , Form UCCJEA-7a (UCCJEA ­ Order on Electronic Testimony Application) (8/2010) PRESENT: Hon. ......................................................................................... In the Matter of a Proceeding for Custody Visitation or Enforcement Modification Registration of an Order of : Custody Visitation Under the Uniform Child Custody Jurisdiction and Enforcement Act [Domestic Relations Law Art.5-A] Petitioner, -against- Docket No. ________________ ORDER -Electronic Testimony Application Respondent. .......................................................................................... The request of [specify name of applicant]: , dated [specify]: to testify or be deposed by telephone or other electronic means having been considered by this Court, it is hereby ORDERED that the request is: GRANTED and the applicant must follow the instructions below. OR DENIED for the following reasons: If this application is denied, the applicant must appear at the hearing in person. The hearing is scheduled for [specify date and time]: ENTER: DATED: Judge of the Family Court PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN W ITHIN 30 DAYS OF RECEIPT OF THE ORDER BY APPELLANT IN COURT, 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF COURT, OR 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, W HICHEVER IS EARLIEST. INSTRUCTIONS IF REQUEST FOR TELEPHONE OR ELECTRONIC TESTIMONY IS GRANTED: On [specify hearing or deposition date]: at A.M. P.M. , you must [check applicable box]: call Part at telephone # OR be available to receive a call from the Court; In order to confirm the above arrangements for your testimony, you must call the following telephone number [specify]: ___________at this Court to confirm your testimony no later than [specify deadline in advance of the hearing]:________ It is your responsibility to transmit to this Court, Part __, by fax [specify fax #]: or by personal delivery at least [check box]: ___ hours ___ days prior to the hearing, legible copies of any documents you intend to offer into evidence at the hearing. You may choose to appear in person in this Court on your trial date, rather than appear by telephone or other electronic means. You may retain an attorney to represent you in this Court while you appear by telephone or other electronic means. If you fail to appear, either in person or by telephone or other electronic means approved by this Court, this Court may hear the matter in your absence or may issue a WARRANT for your arrest. If you are the Petitioner, if you fail to appear, either in person, by telephone or other electronic means approved by this Court, the Court may DISMISS the petition. Check applicable box: Order mailed on [specify date)s) and to whom mailed]:_____________________ Order received in court on [specify date(s) and to whom given]:______________ American LegalNet, Inc. www.FormsWorkFlow.com