Before completing the video conference request, please review the Video Conferencing Policy!

Important: This service requires a signed order by a Twelfth Judicial Circuit Judge.
You will need to call the remote location and collect their technical information in order to proceed with this form.
All video conference calls must originate from remote conference locations.
All fields marked with an asterisk (*) are required and must be filled in or this form will not be processed.
Requestor Information
Approval Information
Technical Information
Please Note: Upon submission, this form will be sent to Court Administration. Print this form for your records and then hit SUBMIT.