Rule 55 - Victim Testimony by Video Conference-Civil Cases
Rule 55.1 - Victim Testimony by Video Conference-Civil Cases and forms
Rule 55.1. Victim testimony by Video Conference - Civil Cases
FOR ASSISTANCE ON APPEARANCES BY VIDEO CONFERENCING, PLEASE CALL (816) 881-3920, Monday through Friday, 8:30 A.M. to 4:30 P.M.
Adopted: 3/17/2023
IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
__ At Kansas City __At Independence_______________________________________, )
)
Petitioner/Plaintiff, )
v. ) Case No. _______________________
)
_______________________________________, ) Division No. ______
)
Respondent/Defendant. )
APPLICATION TO TESTIFY BY VIDEO
1. My name is _______________________________. I am the Petitioner/Plaintiff Respondent/Defendant (circle or underline one) in the above styled case.
2. Pursuant to Missouri Revised Statute 546.263, I am requesting that I be allowed to provide my testimony by video/virtual platform for my trial scheduled for ___________________(insert date and time) in Division ______(insert division number).
3. This case involves a domestic assault as defined by Missouri Revised Statutes 565.072 through 565.076 and I am a victim of such assault in that : _____________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Note: If a law enforcement agency was involved or investigated your assault, include the name of the agency and the law enforcement agency number assigned to your case. If charges have been filed in your assault case, include the name of the court and court case number.
I affirm that the information contained in this Application to Testify by Video is true.
___________ _______________________________
Date Signature of Applicant
Adopted: 3/17/2023
IN THE 16TH CIRCUIT COURT OF JACKSON COUNTY, MISSOURI
at Kansas City at Independence
In Re the Matter of: | Case Number |
Petitioner/Plaintiff |
Respondent/Defendant |
VIDEO TESTIMONY INFORMATION SHEET
 |
|
|
Name |  |  |
Residential Address |  |  |
Mailing Address |  |  |
Email Address |  |  |
Phone Number |  |  |
 |  |  |
Employer Name |  |  |
Employer Address |  |  |
Employer Phone No. |  |  |
List all unemancipated children who are subjects of this proceeding:
Name (last, first, middle) | DOB |  | Children Reside with: Petitioner Respondent |
 |  |  |  |  |
 |  |  |  |  |
 |  |  |  |  |
 |  |  |  |  |
Date: Signature of Applicant:
CONFIDENTIAL DOCUMENT COURT ACCESS ONLY
Adopted: 3/17/2023