Request to bring in Electronic Equipment

Your Name (required):

Your Email (required):

Your Phone Number (required):

In which Courthouse(s) will service be performed? (required)
 Wilkie D. Ferguson, Jr. U.S. Courthouse, 400 N. Miami Avenue, Miami C. Clyde Atkins U.S. Courthouse, 301 N. Miami Avenue, Miami James Lawrence King Federal Justice Building, 99 N.E. Fourth Street, Miami U.S. Federal Building and Courthouse, 299 East Broward Boulevard, Fort Lauderdale Paul G. Rogers Federal Building and U.S. Courthouse, 701 Clematis Street, West Palm Beach Sidney M. Aronovitz U.S. Courthouse, 301 Simonton Street, Key West Alto Lee Adams, Sr. U.S. Courthouse, 101 South U.S. Highway 1, Fort Pierce

Location within Courthouse service to be performed? (Example-Chambers 12-1, Executive Office, etc) (required)

Date(s) of Service (required):

Time(s) of Service (required):

Company/Agency performing service (required):

Purpose of Courthouse Visitation or Scope of Work (required):

Name(s) and Tile of individual(s) performing service (required) and Clearance Level (if applicable):

List all electronic equipment for each person entering the Courthouse(s) for this service (example: John Doe, Cell phone, beeper, laptop. Jane Doe, laptop) (required):

Why do listed individuals need this electronic equipment? (required):

Who will escort/supervise? (required):