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Remote Testimony Request Form

Checklist before you continue

All fields must be filled in or this form will not be processed
This service requires a signed order by a Ninth Judicial Circuit Judge
This service requires written approval by the Ninth Circuit Court Adminstrator (Matt Benefiel)
All Remote Testimony Must Originate From The Remote Location (they call us)
You will need to call the remote location and collect their technical information for this form

Requester Information

Company or Office Requesting	Phone
Judge/Attorney	Email
Address	Contact

Approval Information

Date Requested (Minimum 48Hr Notice Required)	Courtroom #
Order signed by Judge (Name)	Date
Approved by Court Administrator (Matt Benefiel)	Date
Video Conference Type Trial Hearing Depositition

Technical Information

Name of Site Initiating the Call	Contact
Address	Phone
Test Date (Min 24Hr Prior)	Test Time
Start Date and Time	End Time
Target ISDN Phone Number/s	112/128 224/256 336/384 Speed
Long Distance/ISDN Service Carrier	Is this Multipoint?
Bridge Provider	Reservation #

Upon submission, this form will be sent to Court Administration, Technical Services, and Court Audio/Video Services

Print this form for your records and then hit submit.