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2. To request a virtual hearing, an in person hearing or a reset your previously scheduled court dates, please fill the request form below.
4. Please select one of the options below*

   1. I would like to request a virtual hearing.
   2. I would like to request an in person hearing.
6. If you are requesting a virtual court appearance, please review the following agreement:

   1. I would like to request a Virtual Court Appearance through the Zoom or Tyler Virtual Platform.
   2. I understand that this request must be done prior to my appearance in order for the Court to schedule my cases;
   3. I understand by submitting this request the court proceedings will be live streamed through YouTube.
   4. By submitting this request I consent to answer to my case by a virtual appearance.
8. If you are requesting an in person court appearance, please review the following agreement:

   1. If you are showing signs of a fever, or other symptoms, please reach out to the court on how to proceed.
   2. You may be asked to wait in your car until it is your time to see the judge to help us limit the number of people in court at one time.
10. Reason for Virtual Request*
    -- Select One --Medical/HealthTransportationI do not live in the City of Baytown

    If your reason does not fall under the above options, then you must appear in person for your court hearing. 

12. Reason for Court Continuance*
14. First Name*
15. Last Name*
16. Date of Birth*
    Date of Birth
18. Citation Number/ Docket Number*
20. Phone Number*
21. Email Address*
23. Address
25. City
26. State
27. Zip Code
29. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) the information you supplied is true and correct, 2) your request will not be signed in the sense of a traditional paper document, 3) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 4) you may still be required to provide a traditional signature at a later date.

    1. I agree
31. Electronic Signature*
32. Date of Signing*
    Date of Signing
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field