Fl. R. Gen. Prac. Jud. Admin. form 2.601
(CAPTION)
REQUEST TO BE EXCUSED FROM E-MAIL SERVICE FOR A PARTY NOT REPRESENTED BY AN ATTORNEY
.....(name).....requests to be excused pursuant to Fla. R. Gen. Prac. & Jud. Admin. 2.516(b)(1)(D) from the requirements of e-mail service because I am not represented by an attorney and:
[] I do not have an e-mail account.
[] I do not have regular access to the internet.
By choosing not to receive documents by e-mail service, I understand that I will receive all copies of notices, orders, judgments, motions, pleadings, or other written communications by delivery or mail at the following address: .....(address)......
I understand that I must keep the clerk's office and the opposing party or parties notified of my current mailing address.
Pursuant to section 92.525, Florida Statutes, under penalties of perjury, I declare that I have read the foregoing request and that the facts stated in it are true.
Dated: ..........
Signature: _________________________________
Print name: ..........
Phone number: ..........
CLERK'S DETERMINATION
Based on the information provided in this request, I have determined that the applicant is [] excused or [] not excused from the e-mail service requirements of Fla. R. Gen. Prac. & Jud. Admin. 2.516(b)(1)(C).
Dated: ..........
Signature of the Clerk of Court: ___________________________________
CERTIFICATE OF SERVICE
I certify that a copy hereof has been furnished to the clerk of court for ...... County and .....(insert name(s) and address(es) of parties used for service).....by .....(delivery) (mail).....on . ....(date)......
________________
.....(name of party).....
A PERSON WHO IS NOT EXCUSED MAY SEEK REVIEW BY A JUDGE BY REQUESTING A HEARING TIME.
Sign here if you want the Judge to review the clerk's determination that you are not excused from the e-mail service requirements. You do not waive or give up any right to judicial review of the clerk's determination by not signing this part of the form:
Dated: ..........
Signature: _________________________________
Print Name: ________________________________
Fl. R. Gen. Prac. Jud. Admin. form 2.601