Page 1 of 2 Approved by the Coalition for Court Access
CCA-GF-0920-3023
www.indianalegalhelp.org
STATE OF INDIANA IN THE __________________ ______________ COURT
COUNTY OF _________________ CAUSE NO. ________________________________
IN RE THE MATTER OF:
__________________________
Petitioner
v.
__________________________
Respondent
APPEARANCE BY UNREPRESENTED PERSON
1. My name is _________________________________ and in this case I am not represented
by a lawyer.
2. My contact information for receiving legal service of documents and case information as
required by Court Rules is:
Address:
Email address:
I will accept service at the above email address.
Phone:
Fax:
OR, if in a related case, you have used the Attorney General confidential address, you may
check the box below:
Attorney General confidential address
3. This is a _____ case type as defined in Administrative Rule 8(B)(3).
4. There are other cases related to this case: (If yes, please indicate below)
Yes
No
Caption and case number of related cases:
Caption: Case No.:
__________________
Page 2 of 2 Approved by the Coalition for Court Access
CCA-GF-0920-3023
www.indianalegalhelp.org
Caption: Case No.:
Caption: Case No.:
Additional information as required by local rule:
Signature
I hereby certify that I sent a copy of this document on ________________________ by
e-service using the e-filing system
first-class U.S. mail, postage prepaid
hand delivery
to _____________________________________ at the following address:
______________________________
______________________________
______________________________
_____________________________
Signature
Page 1 of 1
Approved by the Coalition for Court Access
CCA-GF-0920-3024
www.indianalegalhelp.org
STATE OF INDIANA IN THE __________________ ______________ COURT
COUNTY OF _________________ CAUSE NO. ________________________________
IN RE THE MATTER OF:
__________________________
Petitioner,
v.
__________________________
Respondent.
VERIFIED MOTION FOR VIRTUAL OR TELEPHONIC APPEARANCE
Comes now ________________________________________, self-represented, and hereby
files a Verified Motion For Virtual Or Telephonic Appearance, and states as follows:
1. A hearing is scheduled in this matter for:
____________________________________________at __________________________ ______.
2. I respectfully ask the court to allow me to attend the hearing by
Telephone
Court approved online platform (e.g. Zoom, Webex, Google Classroom, etc.)
3. I make this request because:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
WHEREFORE, ___________________________________________ requests that this
Court allow them to appear by telephone or virtual platform for the hearing scheduled on
_____________________________________________at _________________________ _______
and for all other relief that is just and proper in the premises.
I affirm under penalties for perjury that the foregoing representations and statements
are true.
__________________________________________ _________________________________
Signature Date
I hereby certify that I sent a copy of this document on ________________________ by
e-service using the e-filing system
first-class U.S. mail, postage prepaid
hand delivery
to _____________________________________ at the following address:
______________________________
______________________________
______________________________
______________________________
Signature
__________________
_______
_______
Page 1 of 1 Approved by the Coalition for Court Access
CCA-GF-0920-3025
www.indianalegalhelp.org
STATE OF INDIANA IN THE __________________ ______________ COURT
COUNTY OF _________________ CAUSE NO. ________________________________
__________________________
Petitioner,
v.
__________________________
Respondent.
ORDER GRANTING MOTION FOR VIRTUAL OR TELEPHONIC APPEARANCE
Comes now, ____________________________________________, self-represented, having
filed a Verified Motion For Virtual Or Telephonic Appearance, and the Court now finds that
______________________________________________ should be allowed to appear for the
hearing scheduled in this matter on _________________________________________________ at
_________________________ _______by:
Telephone by following these instructions:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
By virtual platform by following these instructions:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
So ORDERED _____________________________________________________________.
______________________________
Judicial Officer
Distribution:
_______________________________ _______________________________
_______________________________ _______________________________
_______________________________ _______________________________
_______________________________ _______________________________
__________________
_______