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Consent to Video/Phone Appearance

  1. IN THE 17TH JUDICIAL CIRCUIT, CASS COUNTY, MISSOURI, HARRISONVILLE MUNICIPAL DIVISION

  2. Judge or Division

    KEVIN K. ANDERSON

  3. Plaintiff/Petitioner:

    City of Harrisonville

  4. Waiver of Right to be Physically Present and Consent to Video/Phone Appearance

    Acknowledging that I have been advised that I may be entitled to be personally present in connection with the above case and acknowledging that I have been given adequate opportunity to consult with legal counsel concerning the matter, I hereby waive any right to be personally present and consent to a video or phone proceeding.

  5. Signature Aknowledgement*

    By clicking below, you agree and acknowledge that 1) this form will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.

  6. I Agree*

  7. This Court accepts this waiver, finding that the person waiving his or her right has been adequately advised concerning his or her right to be personally present in this case, has waived any right to be personally present, and consents to a video or phone proceeding.

  8. So Ordered

  9. Date

    _________________________________________

  10. Judge

    _______________________________________

  11. Leave This Blank:

  12. This field is not part of the form submission.