Santa Clara — CV-5104*

Source: https://santaclara.courts.ca.gov/system/files/forms/cv-5104_rem.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY: STATE BAR NUMBER:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY: STATE: ZIP CODE:

TELEPHONE NO.: FAX NO.:

EMAIL ADDRESS:

ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: 191 North First Street CITY AND ZIP CODE: San Jose, CA 95113

BRANCH NAME:

PLAINTIFF/PETITIONER:

DEFENDANT/RESPONDENT: OTHER CASE NAME: REQUEST AND ORDER FOR TELEPHONE-ONLY APPEARANCE CASE NUMBER: IN CIVIL PROCEEDINGS

You must file this form at least 15 days prior to the scheduled hearing to request court approval to attend that hearing by telephone only.

1. The person who intends to appear remotely is (check and complete all that apply): Plaintiff/Petitioner (name): Attorney for Plaintiff/Petitioner (name): Defendant/Respondent (name): Attorney for Defendant/Respondent (name): Other (name and role in case):

2. The person or persons in 1 intends to appear by telephone only at the following court proceeding:

   Set on (date): at (time): in (department):
   Before (name of judicial officer, if known):

3. The person or persons in 1 must appear by telephone only for the following reasons:

4. I agree to keep the proceeding confidential and to conduct myself as though I am appearing in court in person.

Date:

SIGN

(TYPE OR PRINT NAME) (SIGNATURE)

ORDERS GRANTED. The person or persons identifed in 1 may appear by telephone for the proceeding identified in 2. DENIED.

Date:

JUDGE OR JUDICIAL OFFICER

CV-5104 REV 08/28/2025 Page 1 For Mandatory Use REQUEST AND ORDER FOR TELEPHONE-ONLY APPEARANCE IN CIVIL PROCEEDINGS