I know that I can personally appear at this hearing, and I give up that right. I agree to be duly sworn upon request by the court
clerk, holding up my right hand and agreeing under penalty of perjury under the laws of the State of California to tell the truth and
nothing but the truth.
I will provide my driver’s license number, social security number, or other information to verify my identity when asked by the court
staff or conference call provider.
I understand that if I need to present documents, present witnesses, cross-examine witnesses, or provide information that is not
available at the hearing, it is my responsibility to ask the court to continue the hearing. The court may decide to grant or deny my
request. I understand that any arguments or supporting proof should be served and filed on time before the hearing so that the
court, the local child support agency, and the other parent have an opportunity to know about my case.
I understand that the court may require me to make all arrangements for the telephone appearance at my own expense.
I assume the risks of cost, time, delay, repeated telephone calls, technical failure, a wrong number, and other problems that could
arise out of this telephone appearance. I understand that if problems occur, the matter may proceed without my personal or
telephone appearance and the court may decide my case based on the documents I filed for this hearing.
If there are financial issues to be decided, I understand that it is my responsibility to timely file with the court and serve on the
local child support agency and the other parent all necessary and appropriate pleadings and documents, including:
a. Income and Expense Declaration (form FL-150) or Financial Statement (Simplified) (form FL-155), whichever is appropriate.
b. My pay stubs from the last two months or other proof of income.
c. The proposed guideline support calculation (optional unless required by local court rule).
I understand that the court may not have videoconferencing capabilities. I understand and assume the risk that I may not be able
to personally see or inspect the pleadings, documents, or evidence; the witnesses’ facial reactions, demeanors, or hand gestures;
or other visual or nonverbal aspects of the hearing.
I understand that the court, in its discretion, may decide to terminate the telephone appearance if it determines during the hearing
that a personal appearance would materially assist in the determination of the proceedings. Other reasons for terminating the
telephone appearance could include my not being available at the calendar call, delay, questions about credibility, disruption,
noise, misconduct, a communication problem, a technical problem, and other problems.
I understand that the court may decide at any time to require my personal appearance and continue my hearing.
I understand that if I do not make the proper arrangements for a telephone appearance as set out in local rules or in directions
provided by the court, the matter may proceed without my personal or telephone appearance and the court may decide my case
based on the documents I filed for this hearing.
ADVISEMENT REGARDING TELEPHONE APPEARANCE
I understand that if I have low income or no income, I may apply for a waiver of any filing fees and a possible waiver of
conference call vendor fees. If the court makes collect calls for telephone appearances and so orders me, I will be available to
receive a collect call from the court at the date and time specified. The telephone number will not be one that is blocked from
receiving collect calls. If there are domestic violence or other confidentiality issues in the case and I do not wish my home or work
phone number to be made publicly available, I may provide a number other than my home and work numbers at which the court
can call me collect. I understand that I can check with the local court clerk or local rules of court regarding any additional local
procedures that may be available to protect my confidentiality.
Page 2 of 3
REQUEST FOR TELEPHONE APPEARANCE
(Governmental)
FL-679 [Rev. January 1, 2012]
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PETITIONER/PLAINTIFF:
CASE NUMBER:
RESPONDENT/DEFENDANT:
OTHER PARENT:
This case may be referred to a court commissioner for hearing. By law, court commissioners do not have the authority to issue final
orders and judgments in contested cases unless they are acting as temporary judges. The court commissioner in your case will act
as a temporary judge unless, before the hearing, you or any other party objects to the commissioner’s acting as a temporary judge.
If you or the other party objects, the court commissioner may still hear your case to make findings and a recommended order to a
judge. If you do not like the recommended order, you must object to it within 10 court days in writing (use Notice of Objection
(Governmental) (form FL-666)); otherwise, the recommended order will become a final order of the court. If you object to the
recommended order, a judge will make a temporary order and set a new hearing.
I have read the Advisement Regarding Telephone Appearance section of this form and I understand that the terms apply to
me. If the LCSA is making this request, it verifies this advisement was provided to the party, parent, or witness, and that
person indicated that he or she understands that the terms apply to him or her.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE)(TYPE OR PRINT NAME)
Date:
FL-679