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Get Mc 410 Info 2021-2024

APPLICANT S INFORMATION TO BE KEPT CONFIDENTIAL APPLICANT name APPLICANT is Witness Juror Attorney Party MC-410 Other Specify Person submitting request name APPLICANT S ADDRESS TELEPHONE NO. Necessary See Cal. Rules of Court rule 1. 100 g for the review procedure For the above matter or appearance From dates Indefinite period because it to accommodation as follows Date response delivered in person or sent to applicant SIGNATURE FOLLOWS THE LAST PAGE OF THE RESPONSE. Form Approved for Optional Use Judicial Council of California MC-410 Rev. July 1 2017 For your protection and privacy please press the Clear This Form button after you have printed the form. Print this form Save this form Page 1 of 1 Cal. Rules of Court rule 1. NAME OF COURT STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME Judge Case Title REQUEST FOR ACCOMMODATIONS BY PERSONS WITH DISABILITIES AND RESPONSE CASE NUMBER Applicant requests accommodation under rule 1. 100 of the California Rules of Court as follows 1. Type of proceeding Criminal Civil 2. Proceedings to be covered for example bail hearing preliminary hearing trial sentencing hearing family probate juvenile 3. Date or dates needed specify 4. Medical condition necessitating accommodation specify 5. Type or types of accommodation requested specify 6. Special requests or anticipated problems specify I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date TYPE OR PRINT NAME SIGNATURE RESPONSE The accommodation request is GRANTED and the court will provide the requested accommodation in whole For the following duration fails to satisfy the requirements of rule 1. 100. creates an undue burden on the court. fundamentally alters the nature of the service program or activity. NAME OF COURT STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME Judge Case Title REQUEST FOR ACCOMMODATIONS BY PERSONS WITH DISABILITIES AND RESPONSE CASE NUMBER Applicant requests accommodation under rule 1. 100 of the California Rules of Court as follows 1. Type of proceeding Criminal Civil 2. Proceedings to be covered for example bail hearing preliminary hearing trial sentencing hearing family probate juvenile 3. 100 of the California Rules of Court as follows 1. Type of proceeding Criminal Civil 2. Proceedings to be covered for example bail hearing preliminary hearing trial sentencing hearing family probate juvenile 3. Date or dates needed specify 4. Medical condition necessitating accommodation specify 5. Type or types of accommodation requested specify 6. Date or dates needed specify 4. Medical condition necessitating accommodation specify 5. Type or types of accommodation requested specify 6. Special requests or anticipated problems specify I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Special requests or anticipated problems specify I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date TYPE OR PRINT NAME SIGNATURE RESPONSE The accommodation request is GRANTED and the court will provide the requested accommodation in whole For the following duration fails to satisfy the requirements of rule 1.

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