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DISTRICT COURT OF WA

VIDEO LINK BOOKING REQUEST – DCB HEARINGS

Leave of the court is required before a matter can be dealt with by video-link. This form should not be filed until leave has been obtained.
To: / Effective 1st July 2017
Listings Coordinator, District Court
Facsimile: 9425 2924
Email: (attention: Listings Coordinator)
Details of Proceedings / Court file no: ______Date order for video link made ______
Party Names: -v-
Details of
Applicant / Party requesting video link ("Applicant"): ______
Name of person making request: ______
Organisation/Firm : ______
Address:______
Tel No: (Office)______(Mob)______Fax No:______
Email: Your ref: ______
Details of person to appear by video conference / Name: ______Adult Child
Civilian Witness Police Officer Expert Witness Lawyer
Details of video conference link / Date of link ____ / ____ / _____ Time of link ___ : ___ am/pm (WA time) Est. duration ____ hrs
Location of far end ______
Town and/or country ______
Contact Person ______
Contact Telephone/Fax/Email ______
ISDN No(s) (if known) ______Line Speed 384 Kbps 512 Kbps or
IP Address: ______
Other comments ______
The relevant contact details are set out in the Court’s List of Preferred Video Link Locations. Where the far end facility is not on this list, it is the responsibility of the applicant to book and pay for this facility.
Acknowledgment
of fees
for civil matters / No fees/charges are payable in criminal matters where a direction by the Court has been made pursuant to s 121 of the Evidence Act 1906. Any charges levied by the far end venue are the responsibility of the applicant. Where the Court's equipment/facilities are utilised for non-District Court of Western Australia related matters, fees will apply at the rate outlined for civil matters.
On behalf of the Applicant, I acknowledge that, pursuant to the Evidence (Video and Audio Links Fees and Expenses) Regulations 1999 (WA) the Applicant is liable to pay the following fees for this request, within 30 days after use of the video link:
·  Booking fee of $110.00 (intrastate) or $163.50 (interstate or overseas).
·  Hourly administration fee of $86.00 per hour or part of an hour
·  All telecommunication (ISDN) charges incurred by the Court.
(Signed) ______Dated _____ / _____ /20______
COURT USE ONLY
Courthouse
(initiating
location)
/ Date of booking: ______
Far site
location
/ Date of booking: ______
Booking Fee
/ $110.00 Intrastate $163.50 Interstate/Overseas
Administration Fee
/ Administration time: ______hours Cost $ ______($86.00 per hour or part thereof)
ISDN Costs
/ Actual ISDN costs $ ______(determined after video-conference conducted)
Actual time used: ______hours
Invoice
/ Date invoice issued: ______Invoice number: ______Date paid: ______
Comments

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