CourtCall

Your request has been sent.

Purpose Purpose
CourtCall ID 123456789
Cancellation Reason Cancellation Reason
Authorizing Party Authorizing Party
Date of Appearance 10/14/21	Time (HH:MM) 10/14/21
Appearing First Name First Name	Appearing Last Name Last Name
Phone Number 1231231234	Email test@example.com
Bar Number 123456A	Firm Name Firm Name
Court Name Court Name	Judge Name/Department Judge Name / Department
Appearance Type Appearance Type
Case Number Case No	Case Name Case Name
Representing Role Representing Role	Party Represented Party Represented
Customer Reference Number CR123456
Payment Method CourtCall Debit Account
Scheduler Name Scheduler Name
Scheduler Phone Number 1231231234	Scheduler Email test@example.com
Notes Notes

Please fill out the form below to schedule or cancel an appearance by email.

Please complete all required fields.

This form can be used to schedule appearances three (3) or more court days in the future. If your appearance is fewer than three court days in the future, please call us at (888) 882-6878 for immediate assistance.

* Required Fields

Purpose*

Date of Appearance*	Time (HH:MM)*

	Please enter a time in HH:MM format (e.g. 9:30).

Appearing First Name*

Appearing Last Name*

Phone Number*

Ext

Email*

Bar Number

Firm Name*

Court Name*

Judge Name/Department*

Appearance Type*

Case Number*

Case Name*

Representing Role*

Party Represented*

Customer Reference Number

Payment Method*

Scheduler Name*

Scheduler Phone Number*

Ext

Scheduler Email*

Notes

***Your recurring method of payment (credit card or CourtCall Debit Account) will be charged unless otherwise specified in this email. If you have multiple credit cards on file, you can provide the last 4 digits of the card that you prefer us to use. Otherwise, we cannot accept credit card payment information via email and emails with credit card details will be discarded and must be resubmitted without credit card information.