City of Victoria Form Center

2. E-Court Accessibility for Remote Proceedings
   This form is available for you to fill out to notify the court of your ability to attend a remote proceeding.
   Requirements to Appear via E-Court:
   A device capable of accessing an internet connection (PC, MAC, Smart Phone, Tablet, etc.).
   A fast and stable internet connection.
   A webcam attached to your PC or a built-in camera on your device that will allow the Judge to see you during the video conference.
   A microphone connected or built-in mic that will allow you to talk to the Judge and your device must also have speakers attached or built-in that will allow you to hear what the judge is saying to you.
   A working email address; you may need to email images or documents for the Judge’s review.
   
   You will be required to provide the Court with a working email address and mobile phone number to ensure future successful contact with the Court.
   
   If you do not have access to remote proceedings, the court will provide you alternative solutions.
4. First and Last Name*
5. Date of Birth*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. E-mail Address*
16. Please select which device(s) you have access to:*

    Check all that apply

    1. Smart phone
    2. Laptop
    3. Computer
    4. Tablet
    5. Web cam and/or built in camera in device(s) listed above
    6. Microphone and/or built in in one of the device(s) listed above
    7. All of the above
    8. I do not have access to any of the above listed devices either through myself or a friend or family member
18. Please select the type reliable internet you have access to:

    Please select all that apply

    1. Internet through mobile device
    2. WIFI at home or through friend or family members house
    3. WIFI at a public location
    4. I do not have access to reliable internet
20. If you do not have all of the requirements necessary to attend a remote proceeding, the court will provide you access. *

    Please select which option is applicable to you:

    1. I have access to the requirements
    2. I do not have a reliable internet connection or device capable to attend a remote proceeding
22. Please use this section for any other comments or questions for the court:*
24. By submitting this form, you hereby swear and affirm that the information provided above is correct. Upon review of your request, Municipal Court will send your court notice(s) by the method of your choice
26. Please send any notice(s) if applicable by:*

    1. By e-mail
    2. By mail
28. Defendant Signature (Type name if you agree to the terms of this form.):*
29. Date*
    Date
31. Upload Driver's License or Identification**
33. Please contact the court
    It is your responsibility to follow up with the court at 361-485-3050 or courtclerk@victoriatx.gov to verify receipt of your request.
Leave This Blank:


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

    This field is not part of the form submission.

37. Submit

* indicates a required field