SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER
Form Adopted for Optional use www.placer.courts.ca.gov
Superior Court of California, County of Placer Page 1 of 2
Form No. PL-CW010
Revised 06-21-2021
ATTORNEY OR PARTY WITHOUT ATTORNEY
(Name, State Bar Number, and Address):
TELEPHONE NO.:
FAX NO.:
EMAIL ADDRESS:
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF PLACER
10820 Justice Center Drive 2501 N. Lake Blvd.
P.O. Box 619072 P.O. Box 5669
Roseville, CA 95661-9072 Tahoe City, CA 96145
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
REQUEST FOR REMOTE APPEARANCE:
CIVIL PROBATE SMALL CLAIMS
ADOPTION FAMILY LAW
CASE NUMBER:
FOR HEARING SET: DATE: __________ TIME: __________ DEPT: __________
1. I am the Petitioner/Plaintiff Attorney for Petitioner/Plaintiff Respondent/Defendant
Attorney for Respondent/Defendant Other: _____________________________________________
2. To appear remotely, certain hearing types require judicial authorization and notice to the other side, and
other hearing types require the court to grant leave before filing this form and making a request (see
www.placer.courts.ca.gov for details and local rules). This remote appearance request is being made for the
following hearing type (e.g. Emergency Request Hearing):________________________________________
a. If notice to the other party is required for this hearing type: I agree that I will serve a copy of
this request on the other attorney/party before filing this request, and I will file a proof of service
concurrently with this request. (C.R.C. 1.6; 3.670; 5.324(e); 5.9)
b. If applicable: A Judicial Officer granted leave to file this request on date: ___________________
c. If applicable: A Judicial Officer pre-authorized a remote appearance on date: ________________
3. Please state the reason for your request.
4. List the name, role (attorney, party, witness, etc.) and contact information for those you are requesting
appear remotely. A page with additional names and contact information is attached to this form.
Name & Role
Email Address
Phone Number
SUPERIOR COURT OF THE STATE OF CALIFORNIA, COUNTY OF PLACER
Form Adopted for Optional use www.placer.courts.ca.gov
Superior Court of California, County of Placer Page 2 of 2
Form No. PL-CW010
Revised 06-21-2021
5. If you are an attorney
1
:
My client has consented and authorized me to make this request on their behalf. I and/or my
client will attend the hearing remotely. I waive my client’s appearance for this hearing.
I confirm that if a need arises during the hearing, I have established a means to communicate privately
and confidentially with my client so that I will not engage in conversations with my client over the
remote appearance platform while the hearing is in session.
6. By signing I understand and agree to the following:
When appearing remotely, I may not receive assistance from anyone other than Counsel, a court
certified interpreter or an individual appointed by or approved by the Court.
All rules of courtroom civility and decorum apply to a remote appearance and a remote appearance
is the equivalent of an in-person appearance. Any actions that occur in the hearing are subject to
all applicable rules, statutes and laws and are enforceable in the same manner as if the attendee
was in the courtroom.
By making this request for a remote appearance, I do not have any scheduling conflicts with the
appearance. I agree I will be available to participate in the hearing when the case is called by the
Court. I agree to not be engaged in any other activity while participating in the scheduled hearing.
If I am not connected with the remote platform at the time the Court calls my case or if my
connection drops during my hearing, the Court will consider the failure of connection or the drop a
failure to appear and the hearing may be dropped from calendar and/or the Court may proceed with
the hearing and/or make rulings in the absence of an appearance as allowed by law.
The Court, in its discretion, may decide to terminate the remote appearance if there is a disruption,
noise, misconduct, a communication problem, a technical problem, other issue, including
termination in the interest of justice.
The Court retains discretion at all times to require a personal appearance and/or continue the
hearing, and that I may be responsible for fees and/or costs due to a continuance.
I understand that except as provided in California Rules of Court, rule 1.150, court proceedings
shall not be photographed, recorded, or broadcast. Violators may be cited for contempt of court, or
monetary sanctions may be imposed.
DATE: _________________
________________________________________ _______________________________________
PRINTED NAME SIGNATURE
1
Legal assistants nor paralegals are authorized to make a court appearance on behalf of an attorney. All rules of
professional conduct apply to remote appearances.
FOR COURT USE ONLY
By Court Clerk: Judicial officer pre-authorized the request to appear remotely as reflected in minutes
dated __________________.
Date: ______________________ Clerk __________________________________________
By Judicial Officer: The request for a remote appearance is GRANTED. DENIED.
Date: ______________________ ___________________________________________
Judicial Officer