UHG Witness Request Process Ver 1.0

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Submission Date & Time
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Plaintiff Name* This field is required.
UHG I LLC
Independence Capital Recovery, LLC
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Law Firm Name* This field is required.
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Email* This field is required.This is the email your decision will be delivered to.
example@example.com
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Name of Trial Attorney/Lead Counsel* This field is required.This is the name of the point person/ attorney handling the court appearance.
First Name
Last Name
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Email contact of the Trial Attorney/Lead Counsel* This field is required.This is the email contact information for the attorney handling the court appearance.
example@example.com
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UHG Account ID (Data ID)* This field is required.Exactly as it appears in the placement file from Beam or Debt Next. You MAY NOT use the issuer account ID.
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Original Account Balance* This field is required.
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Current Account Balance* This field is required.
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Opposing Counsel Name or pro se* This field is required.Pro se is a self represented defendant.
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What was the last settlement offer and/or counteroffer, if any?* This field is required.If there has not been a settlement negotiation, please explain why you have not done so.
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Date of Witness Appearance in EASTERN TIME* This field is required.All times should be put in Eastern Time regardless of location of appearance.
Date
Month
Day
Year
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10
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Hour
00
15
30
45
Minutes
PM
AM
PM
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Type of Witness Appearance Being Requested* This field is required.
Trial Witness
Mediation
Arbitration
Deposition
Deposition 30b6 Representative
Other Hearing (please describe in notes below)
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What State is the appearance in?* This field is required.
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Is the appearance in person or remote?* This field is required.
In Person
Remote
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Remote Appearance LinkLink, meeting ID, meeting passcode, etc.
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Has a motion to appear telephonically/remotely been filed?* This field is required.
It was filed but is still PENDING. An update will be provided to UHG within 24 hours of the ruling.
It was filed but was DENIED.
It has NOT been filed, but will be.
It will not be filed. This Judge/Court will not grant it/does not allow it.
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Please explain why? Re: your previous response to the motion to appear telephonically/remotely.
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Location for Witness Appearance* This field is required.Please ensure specific court room number is provided.
Street Address
Street Address Line 2
City
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State
Zip Code
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Country
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Service Provider NotesProvide any additional details that may help our team make the best informed decision possible for this matter.
The more details that you provide will assist us in making a decision as soon as possible.
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UHG Comments-Internal
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