Scheduling * indicates required field. Job InformationDate of Job: *Case Caption: *Time of Job: *Hours-120102030405060708091011Minutes-000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859AM/PMAMPMNumber of Attorneys of Record, including your office: *Please select an option12345678910111213141516171819202122232425Number of Witnesses to be Deposed: *Please select an option12345678910111213141516171819202122232425Campise to Videotape?NoYesTranscript Delivery Requirements: *Please select an optionNormal (7-10 Work Days)Expedite (2-3 Work Days)Daily Copy (Next Work Day)Realtime (Immediate Hookup)Miscellaneous (Names of witnesses, additional requests or comments):Email AddressesTo receive an e-mail confirmation of this completed form, insert your-email below and e-mail addresses of any opposing counsel to whom you want a copy sent.Email: *Email addresses of opposing counsel (comma separated list):Your Firm's InformationPerson Completing this Form: *Attorney Handling Job: *Your Firm's Name:Your File Number:NOTE: If you've scheduled jobs with us previously through the internet, you may now skip the rest of this section and go to "Job Site Information"Firm's Address:Firm's Address (additional):Firm's City:Firm's State (abbreviation):Firm's Zip Code:Firm's Phone Number:Firm's Fax Number:Job Site InformationJob to be Held at Your Office?: *YesNoJob Site Office of:Job Site AddressJob Site Address (additional):Job Site City:Job Site State (abbreviation):Job Site ZIP:Carrier Billing InformationCarrier to Bill:Claim Number:Name of Representative:Claim Rep Address:Claim Rep Address (additional):Claim Rep City:Claim Rep State (abbreviation):Claim Rep Zip Code: Submit
