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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