Minnesota > Local County > Hennepin > District Court > General
Application And Request For Public Data - Minnesota
| Application And Request For Public Data Form. This is a Minnesota form and can be used in General District Court Hennepin Local County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Instructions for Application and Request for Public Data Fill out the form and describe the information requested as completely as possible. Be sure to include a telephone number where we may contact you with additional questions. Send the completed, signed request to: Research Director Fourth Judicial District Court C-1252 Hennepin County Government Center 300 South Sixth Street Minneapolis, MN 55487-0421 After receipt of the request, we will determine an approximate cost. We will then call the requestor with that cost estimate. Generally, requests can be filled in two weeks. HC 2827 (2/94) (Rev.1/94) <<<<<<<<<********>>>>>>>>>>>>> 2 Application and Request for Public Data Fourth Judicial District - Hennepin County Notice to Requestor: This application will be processed and evaluated in accordance with the Fourth Judicial District Data Dissemination Policy. Once submitted, this application and the information contained herein shall become a public recoct to rd subje disclosure. Part I Name of Requestor ________________________________________________Title_____________________________________ Address of Requestor _______________________________________________________________________________________ Phone Number_____________________Dated of Request___________________Request needed by______________________ This request is being made for records in the following area(s): Civil Criminal Conciliation Court Probate Housing Court Juvenile Court Other(Includes non-computerized records) Describe information requested (Be specific) Time parameters of requests: FROM ______ ______ ______ TO ______ ______ _______ month day year month day year Reason the information is wanted (optional, to be used for statistical purposes only) Agreement It is understood that the fourth Judicial District, the District Administrator, or court staff are not responsible for any misrepresentation in the information provided to the requestor and are not liable for any use, disclosure or intentionnteanl otior unanl idissemination of this information. The undersigned requestor further agrees to pay, unless payment has been waived, the cosf t oprocessing this request. ________________________________________ Signature of Requestor Part II - Response to Application and Request for Data (Court Use Only) You are hereby notified that your application has been processed and evaluated in accordance with the Fourth Judicial Districts Data Dissemination policy, and it is, Granted Denied If denied, the reason(s) for denial is/are as follows: Training for customer access Cost Potential disruption of the ongoing business of Court Court and/or Information Services Time Comments ________________________________________________________________________________________________ _________________________________________________________________________________________________________ The estimated cost for fulfilling your request is $____________. Payment and/or authorization is required before processing. Return request to ___________________________________________ __________________________ Court Administrator/Designee Date Address:________________________________________________________________Phone:____________________________ HC 2827 (2/94) (Rev.1/94)
|
|||||||
