STATE OF MICHIGAN
Law & Courts Building, 60296 M-62, Cassopolis, MI 49031 269-445-4436
A request by a party to appear telephonically must be submitted to and received by the Court AT LEAST 7
DAYS BEFORE THE DATE OF THE HEARING. Facsimile copies will not be accepted. A copy of the
request MUST be served on the other party, unless good cause is shown to waive this requirement.
Name of Party Requesting to appear by telephone: _______________________________________
Date and Time of Hearing: _________________________________________________________
Phone number for the Court to contact you at the time of the hearing: ________________________
Purpose of Hearing: _______________________________________________________________
What is the reason you are asking to appear by telephone?
Name (type or print) Address
City, State, Zip Phone No.
CERTIFICATE OF SERVICE
I certify that on this date I mailed or personally served each party, or their attorney of record, a copy
of the Request For Telephonic Appearance, with all attachments, by ordinary mail to the other
party's last known address, with proper postage affixed thereon.
The Request For Telephonic Hearing is
Date Referee or Judge