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IN THE MAGISTRATE COURT OF DOUGLAS COUNTY STATE OF GEORGIA Plaintiff VS Case Number Defendant REMOTE PROCEEDING BY VIDEOCONFERENCING REQUEST I hereby consent to remote proceedings by videoconferencing in the above-referenced case. I authorize and affirmatively waive otherwise applicable legal requirements. I understand that the Court must ensure the public’s right of access to judicial proceedings. I understand that it is my responsibility to ensure that I have the proper equipment and device to participate in the electronic hearing via webex.com or Zoom. If I do not appear, I understand that the hearing may proceed without me. I understand that the Court will email my court date and time to the following email address: Signature Printed Name Phone Number