© 2020 Family Law Self-Help Center Request for Video Appearance
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ATEAR
Name:
Address:
Telephone:
Email Address:
In Proper Person
DISTRICT COURT
CLARK COUNTY, NEVADA
VIDEO APPEARANCE REQUEST
(
Your name) _________________________________________ requests that the following
person be allowed to testify by remote court appearance via video conference, pursuant to Rule 4
of the Nevada Supreme Court’s Rules Governing Appearance by Audiovisual Transmission
Equipment: ( check one) Myself / Witness: __________________________________.
This request is for the hearing date and time above for the ( check one):
Citation Hearing
Other Hearing on the date above
The person subject to this request has executed the Consent on the next page and agrees
to be bound by the oath given by the Court Clerk, Eighth Judicial District Court and to be
subject to the jurisdiction of this Court for purposes related to this testimony.
______________________________________ agrees to provide all exhibits to the
witness in advance in the same form as have been or will be submitted to the Court Clerk.
Any objection to this request must be made in writing within two (2) judicial days of
service of this request.
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
____________________________________
(name of person who has a guardian)
A Protected Person.
CASE NO.: ____________________
DEPT: ____________________
HEARING DATE: ______________
TIME OF HEARING: ____________
© 2020 Family Law Self-Help Center Request for Video Appearance
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If the IT department wants to test and verify the functionality of the party/witness’s
video conference connectivity with the Court’s IT department, the contact information of the
party or witness for the test is:
Name: _________________________________________
Email Address: __________________________________
Phone Number: __________________________________
DATED (today’s date) _________________________________
Submitted By: (Signature)_________________________________
Printed Name: _________________________________
CONSENT
(to be signed by the person who wants to appear by video)
By making this request for Audiovisual Transmission Equipment Appearance, the
undersigned agrees to be bound by the oath given by the Court Clerk over the video conference
connection and to be subject to the jurisdiction of this Court for purposes related to this
testimony. I certify that the video connection has been successfully tested at
http://bluejeans.com/111, prior to submitting this application.
Pursuant to NRS 53.045, I declare under penalty of perjury that the foregoing is true
and correct.
DATED (today’s date) _________________________________
(Signature of party or witness)_________________________________
Printed Name: _________________________________
/S/
/S/