REQUEST FOR CERTIFIED COPY OF COURT RECORD

________
________
________
Telephone: ________
Email: ________

Date: ________

Office of the Clerk of Court
________
________
________

Re: Request for Certified Copy of Final Judgment

To the Clerk of Court:

§ 1. Request. I respectfully request, pursuant to the public records and court access provisions applicable in ________ and to the right of access of a party to the record of his or her own proceeding, that the Clerk furnish me with a certified copy of the final judgment (the “Document”) entered in the matter described below.

§ 2. Identification of the Matter.

(a) Case Style: ________

(b) Case Number: ________

(c) Case Year: ________

(d) Court / Division: ________

(e) Date of Judgment (if known): ________

(f) Parties:

________

§ 3. Standing and Relationship to the Record. The Document requested is directly related to me. I am a party to the action identified above, appearing in the capacity of ________. To the extent any portion of the record is sealed, restricted, or otherwise subject to limited access, this request is made in my capacity as a party entitled to such record.

§ 4. Purpose of Request. The Document is being requested for the following purpose:

________

§ 5. Number of Copies. Please provide ________ certified copy(ies) of the Document.

§ 6. Fees and Enclosures. I enclose a self-addressed, stamped envelope for the return of the requested copy. I have included a fee in the amount of $________ (________), tendered by Check. If the actual fee differs from the amount enclosed, I authorize payment of the correct certification and copying charges up to a maximum of $________, and request that any overpayment be refunded to me at the address above.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris nisi ut aliquip ex ea commodo consequat duis aute irure dolor in reprehenderit voluptate velit esse cillum.

Lorem ipsum dolor sit amet consectetur adipiscing elit sed do eiusmod tempor incididunt ut labore et dolore magna aliqua ut enim ad minim veniam quis nostrud exercitation ullamco laboris.

Respectfully submitted,

________
Signature: ________
Date: ________

Enclosures: Self-addressed stamped envelope; payment of fee.