Video Conference Services Request Form
U.S. District Court for the Southern District of Ohio
Please submit this form at least 2 business days before the date of the videoconference. Requests submitted with less than 2 business days notice cannot be guaranteed.
You MUST complete all the information on the form below before submission.
Full Name of Requestor:
Court or Agency:
E-mail Address:
Phone Number:
Date Service Needed:
Time Service Needed (Eastern):
Duration of Call
Originating Location:
Receiving Location:
Reason for the videoconference (e.g., pretrial conference, job interview):
Name and locations of Client In Custody
Special Requirements: