Scheduling * indicates required field Job Information Date of Job:* Time of Job:* 01 02 03 04 05 06 07 08 09 10 11 12 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM Number of Attorneys of Record, including your office:* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Number of Witnesses to be Deposed:* 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Campise to Videotape?: No Yes Case Caption:* Transcript Delivery Requirements: Normal (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): E-mail Addresses To 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 Information Person 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 Information Job to be Held at Your Office?:* Yes No (If no, please complete the following) Job Site Office of: Job Site Address: Job Site Address (additional): Job Site City: Job Site State (abbreviation): Carrier Billing Information Carrier 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: Leave this field empty