Fillable Bear River Band Tribal Court 266 Keisner Road (BEAR RIVER BAND OF THE ROHNERVILLE RANCHERIA)

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Bear River Band Tribal Court 266 Keisner Road (BEAR RIVER BAND OF THE ROHNERVILLE RANCHERIA)

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Bear River Band Tribal Court
Person seeking to appear by telephone or by video:
Date of Hearing:
Phone number to call in Hearing:
I request that the Court permit me to appear by telephone or other electronic appearance due to the
following special circumstances (examples of special circumstances include: incarceration,
hospitalization, etc.):
Signature of Requestor
REQUEST TO APPEAR
TELEPHONICALLY OR BY
VIDEO
In Re:
,
Petitioner(s),
v.
,
Respondent
Court File Number:
Case Type:
(For Court Personnel Only)
Bear River Band Tribal Court
266 Keisner Road
Loleta, CA 95551
(707
) 773-1900 phone
(707) 773-1719 fax
Additional pages are attached:
I have requested to appear by telephone at least 3 DAYS BEFORE the hearing date: DATE:
Telephone Number
Email Address
DATE:
10/2020
APPROVED BY BRBTC
REQUEST TO APPEAR TELEPHONICALLY OR BY VIDEO
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Bear River Band Tribal Court 266 Keisner Road (BEAR RIVER BAND OF THE ROHNERVILLE RANCHERIA)

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Completed 26 January 2021

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