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Your Name *

Email *

Firm or Company Name *

Address *

Suite Number (if none please write none) *

City *

State *

Zip Code *

Phone Number *

Deposition Date *

Case Name *

Witness Name *

Deposition Start Time *

AM/PM? *

AM

PM

Deposition End Time *

AM/PM? *

AM

PM

Deposition Location Name (if using our locations please leave blank and add address below) *

Street Address *

Suite Number (if none please write none) *

City *

State *

Zip Code *

Contact Name at Deposition (Name of Attorney Appearing at the Deposition) *

Contact Phone Number at Deposition (provide attorney cell phone at deposition here, please do not provide law firm phone number here) *

Interactive Real Time Reporting Requested? *

YES

NO

Rough Draft Requested? *

YES

NO

Video-Conference Requested (If any parties are appearing from a remote location via Video-Conference please choose YES for this option) *

YES Video-Conferencing Needed

NO

VIDEO DEPOSITION (Do you want the deposition to be recorded by a Legal Videographer?) *

YES - Provide Legal Videographer

NO

Expedited Transcript Requested? *

Interpreter Requested?

YES Provide Interpreter

NO

Interpreter Language

Interpreter Dialect

Does Interpreter Need to be Court Certified?

YES Interpreter Needs to be Court Certified

NO

If YES, which state or federal court certification is needed for interpreter? (for example New Jersey State Court Certified Interpreter)

Company to Bill for Services *

Contact Person for Billing *

Billing Address *

City *

State *

Zip Code *

Adjuster Name

Claim Number

Date of Loss

Additional Notes & Comments:

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