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Please fully complete the below information, and upload/attach all
relevant documents to this form at bottom where indicated.

Please download the Credit Card Authorization Form HERE and then save it and attach it to this form as well.

** You can submit forms 24 hours per day, but handling of the Appearance Request and confirmation is done during normal business hours Monday – Saturday.

Appearance Information:

Appearance Date (Required):

Appearance Time (Required):

Case Name & Case Number:

Type of Appearance (Required):

Details of Type of Appearance, if necessary to clarify above:

Type of Case/Facts (Required):

[Brief Description of case and other relevant facts needed for appearance)

Attorney Information:

Name of Attorney of Record (Required):

Law Firm Name:

Address of Attorney of Record (Required):

City (Required):

State :

Zip Code (Required):

Attorney's Direct Contact Numbers (Office & cell) (Required):

Email for Attorney of Record (Required):

Enter Email:

Confirm Email:

Facsimile of Attorney

Status of Client:

Court Information

Court Branch / Department / Judge (Required):

Place to Appear

Street Address (Required):

City (Required):

State :

Zip Code (Required):

Client Information

Full Name(s) of All Client(s) You Represent (Required):

Does Your Client Currently Demand or Waive a Jury Trial?

lnjuries and Damages (Medical / LOE)

Summarize injuries and damages as applicable:

All Parties Served & Appeared

Who Is Not served; Why; When will be served, explain details here

Continuance of Hearing Requested

Basis of Continuance Request (Good Cause should be explained in detail and how long)

Unavailable Dates For Any Future Appearances:

Case Ready for Trial / Not Ready / Why / Trial Length; explain:

Discovery Status (Optional)

Summarize what discovery is complete, what discovery remains incomplete and when counsel anticipates completion date

ADR Desired(Type, When, Other)

Desired Outcome / Additional lnstructions *

Your desired outcome and any additional information we need to help achieve it. (Required):

Will Client Be Present at Appearance?

By submitting this form you are agreeing that you have read, understood, and agree with the Terms of Service & Agreement Click Here To Read. Please provide your electronic signature below
to complete the form and your agreement

Type In Your Name Here (Required):


Please upload all documents CMC Statement, Declaration, Points & Authorities, Opposing
Party documents, etc) you believe are important for the appearing attorney to review
and be aware of to achieve your desired outcome

Also, please upload the completed, dated and signed Credit Card Authorization


Please type in exactly the numbers/letters above into box below-Thank you: