Attorney/TDOC Client Video Request Form

Note! Requests must be submitted at least 48 hours in advance.
Note! The Video Conference Room is located in the Jury Assembly Room of the Birch Building in Suite 1120.
Inmate Information

First Name of Inmate:

Last Name of Inmate:

TDOC#:

Attorney Information

Attorney First Name:

Attorney Last Name:

Bar ID:

Phone Number:

Email Address:

Conference Details

Desired Date of Conference (**No Mondays or Holidays**):

Desired Time for Conference (**Conferences are limited to 30 minutes**):(**If the desired time is unavailable, you will be assigned the next available time slot**):

Requirements