Deb Puckett & Associates - On-line Scheduling Request

To request scheduling on-line, please complete this form, and click "Submit Data" at the bottom of the page. We will respond to your request within 24 hours. To be sure that your request is confirmed, please be sure that you receive confirmation from us by telephone or e-mail.

Note: When filling out the form, you can use the "Tab" key to move from one field to the next.

Please provide the following contact information:

Requesting Attorney's Name
Assistant (if applicable)
Firm
Your Address
Your Address (Line 2)
City, State, Zip Code
Your Telephone No.
FAX
E-mail

Please tell us the type of event you need to have reported by choosing one of the
following options. If you don't see what you need listed, please contact us by
telephone and we'll be glad to make arrangements.
Enter the date and time you need a reporter :

Date Time am/pm
Please provide the name of the witness or one of the parties
to the case:
Your File Number if you would like for us to include that for billing
purposes:

Please tell us about any special requirements or deadlines that we need to be aware of:

Please tell us where the event will take place:

Name of Individual (if applicable)

Name of Business

Address Line 1

Address Line 2

City, State, Zip Code

Telephone Number at that Location

Do you want to receive a copy of the transcript in E-transcript format? If so, and
you would like to receive the E-Transcript at a different e-mail address than the one
specified above, please enter that address here:

Name of Individual (if applicable)
Name of Business
Address Line 1
Address Line 2
City, State, Zip Code
Telephone Number at that Location

Copyright © 2003 Deb Puckett & Associates, Inc. All rights reserved. Revised: January 12, 2004

Copyright © 2003 Deb Puckett & Associates, Inc.
All rights reserved.
Revised: January 12, 2004