Courts Audio/Video Recording Request

Van Buren County Courts

Audio/Video Recording Request
- Name*
  
  First NameLast 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.comMailed Flash drive
- Mailing Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- 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*
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Type of Second Event:
- Judge / Referee for second event*
- Date and Time of Second Event*
  
  MonthDayYear
  Date
  Hour MinutesAM/PM Option
- Date Needed by
  
  MonthDayYear
  Date
- Would you to receive an email copy of this form?
  
  YesNo
- Email
  This field is not a part of the form Submission
- Please verify that you are human*
- Signature
- Should be Empty: