DATE OF PROPOSED COVERAGE
1.
2.
Form Adopted for Mandatory Use
Judicial Council of California
MC-500 [Rev. January 1, 2007]
MEDIA REQUEST TO PHOTOGRAPH, RECORD, OR
BROADCAST
Cal. Rules of Court, rule 1.150
www.courts.ca.gov
MC-500
MEDIA AGENCY (name):
CHANNEL/FREQUENCY NO.:
PERSON SUBMITTING REQUEST (name):
TELEPHONE NO.:
ADDRESS:
TITLE OF CASE:
NAME OF JUDGE:
MEDIA REQUEST TO PHOTOGRAPH, RECORD,
OR BROADCAST
FOR COURT USE ONLY
CASE NUMBER:
Insert name of court and name of judicial district and branch court, if any:
(specify):
INCREASED COSTS. This agency acknowledges that it will be responsible for increased court-incurred costs, if any,
resulting from this media coverage (estimate):
PROPOSED ORDER. A completed, proposed order on Judicial Council form MC- 510 is attached (required by Cal. Rules of
Court, rule 1.150).
(SIGNATURE)
Date:
(TYPE OR PRINT NAME)
PORTION OF THE PROCEEDINGS TO BE COVERED (e.g., particular witnesses at trial, the sentencing hearing, etc.):
proposed coverage date. If not feasible, explain good cause for noncompliance):
. (File this form at least five court days before the
3. TYPE OF COVERAGE
TV camera and recorder Audio
d.a.
Still camera Other
e.b.
(specify):
Motion picture camera
c.
4. SPECIAL REQUESTS OR ANTICIPATED PROBLEMS
(specify):
5.
$
Amount unknown
6.
I certify that if the court permits media coverage in this case, all participating personnel in this media agency will be informed of and
will abide by the provisions of California Rules of Court, rule 1.150, the provisions of the court order, and any additional restrictions
imposed by the court.
Telephone No.:
(SUPERVISORY POSITION IN MEDIA AGENCY)
CERTIFICATION
Date: Time: Dept./Div: Room:
Address of the Court:
NOTICE OF HEARING (A hearing is optional.)
A HEARING will be held as follows:
, Deputy
Clerk, by
________________________________
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