MINNESOTA COURT RULES

CRIMINAL PROCEDURE

Forms provided here are for reference purposes. To download forms to fill out please visit the Minnesota Courts website.

FORM 51 - CONSENT TO ITV APPEARANCE

STATE OF MINNESOTA	DISTRICT COURT
COUNTY OF ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________	____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ JUDICIAL DISTRICT
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________,
Plaintiff,
vs.	CONSENT TO ITV
	APPEARANCE
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________,	District Court File No. ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Defendant.

I, _________, Defendant in the above-entitled action do respectfully represent and state as follows:

1. I understand that I have the right to be personally present before the presiding Judge at all stages of these proceedings.

2. I have been requested to consent to appear by ITV for the ______(hearing type)_______ hearing scheduled for __(date)__.

3. I understand that if I do not consent to appear by ITV, an in-person court appearance for that hearing will be scheduled within the time limits provided by the Minnesota Rules of Criminal Procedure or other law.

4. I hereby consent to appear by ITV for the hearing.

5. This consent may not be extended to a future hearing without my later consent.

Dated: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Signature of Defendant

(Added effective for criminal actions commenced or arrests made after 12 o'clock midnight January 1, 2008.)