Language
English (US)
Spanish (Latin America)
Van Buren County Courts
Audio/Video Recording Request
Requestor's Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How would you like to receive the requested recording?
*
Email via WeTransfer.com
Mailed Flash drive
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Case Information
Case Number
*
Plaintiff / Petitioner
Defendant / Respondent
In the matter of:
Type of First Event:
Judge / Referee for First event
*
Date and Time of First Event
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Type of Second Event:
Judge / Referee for second event
*
Date and Time of Second Event
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Date Needed by
-
Month
-
Day
Year
Date
Submission
Would you to receive an email copy of this form?
Yes
No
Email
This field is not a part of the form Submission
Please verify that you are human
*
Signature
Print
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