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2. Case Number *
4. Case Type*

   1. Domestic Violence
   2. Theft
   3. Driving/Traffic
   4. Other
5. Case Type (please print) *
   If the type of case is not listed, please list it above.
7. Defendant Name
9. Reason for Unavailability
   Please explain why you cannot attend court on your subpoenaed day; please note this does not excuse you from court and you can still be held in contempt of court for absence.
11. Witness First Name*
12. Witness Last Name
14. Address1
16. Address2
18. City
19. State
20. Zip
22. Phone Number*
24. E-mail *
26. Agreement*
    -- Select One --I agree

    By submitting this form, I am aware this does not excuse me from court and I must still comply with the instructions on the subpoena. I agree to follow up with the case if more details are necessary.
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28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field