Missouri > Local Circuit Courts > 16th Circuit (Jackson County) > Criminal
Copy Request Form - Missouri
| Copy Request Form Form. This is a Missouri form and can be used in Criminal 16th Circuit (Jackson County) Local Circuit Courts . |
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Court Use Only No. /Pages _______________@1.00 No. /Pages _______________@5.00 No. /Cert. _______________ @ 4.00 No. /Auth. _______________@ 6.00 Notes ________________________ _____________________________ _____________________________ Amt. Due_____________________ COPY REQUEST FORM Department of Criminal Records 16th Judicial Circuit Court, Jackson County, Missouri Kansas City fax: (816) 881- 3420 1315 Locust Kansas City, Missouri 64106 Independence fax: (816) 881- 4691 308 W Kansas, Suite 310 Independence, Missouri 64050 FEES: Fees for electronic, digital, and/or paper copies are $1.00/pg from "standard" files (criminal = less than 5 years old; traffic = less than 2 years old); $5.00/1st pg + $1.00/addtl. pgs from "archived" files (criminal = more than 5 years old; traffic = more than 2 years old); Additional fee for certification is $4.00 per document; additional fee for authentication is $6.00 per document. Requestor will be notified of estimated fees; payment must be received before requests are processed. Please allow 10-14 business days after receipt of payment for processing. ------------------------------------------------------------------------------------------------------------------------------------------------ Date __________________ Requestor name __________________________________________ Requesting agency (if applicable) ____________________________________________________ Requestor telephone number ________________________________________________________ Indicate below preferred method for delivery of copies and provide complete contact information; electronic/digital delivery is encouraged. Fees above apply for electronic, digital, and paper copies. Requestor fax number ________________________________________________________ Requestor address ___________________________________________________________ ___________________________________________________________ Requestor email ____________________________________________________________ ------------------------------------------------------------------------------------------------------------------------------------------------ Defendant name _________________________________________________________________ Defendant social security number ___________________________________________________ Defendant date of birth____________________________________________________________ Case number ____________________________________________________________________ Charge(s) ____________________________________Year of charge(s) ____________________ Check all that apply to your request: _____Complaint/Information/Indictment _____Certification _____Authentication ____ Probable Cause ____ Sentence / Judgment ____ Entire File _____Other (Specify) ____________________________________________________________________________ Special Instructions: ________________________________________________________________________________ ________________________________________________________________________________ NOTE: Criminal case information may be obtained at www.courts.mo.gov/casenet. General records or background searches will not be processed; for additional case information or for a general records search, please contact: Missouri State Highway Patrol, Criminal Justice Information Services Division, P.O. Box 9500, Jefferson City, Missouri, 65102. Phone: (573) 526-6153, fax: (573) 751-9382; email:mshpcjis@mshp.dps.mo.gov American LegalNet, Inc. www.FormsWorkFlow.com 04/15/12
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