Family Records Copy Request Form {FM-1183}

FAMILY RECORDS COPY REQUEST FORM Superior Court of California, County of Santa Clara Office Location: 201 N. First Street, San Jose, CA 95113 Hours: Monday thru Friday 8:30 am - 3:00 pm Per page copy fees are in addition to research and certification fees. Research fee (if no case number provided) ........ $15.00 Certification fee (for Dissolution Judgments only).. $15.00 Certification fee (all other Documents) ................$25.00 Copy fee per page (2 sided is $1.00) ..................$0.50 Mail Your Request To: Superior Court - FJC Records Request 191 North First Street San Jose, CA, 95113 PAYMENT IS DUE IN ADVANCE OF COPYING. Make checks payable to "Clerk of the Superior Court". If you do not know the amount of pages, write in the memo section of check "Not to Exceed $ (dollar estimate for copies)". A receipt will be provided along with your copies. Today's Date: ___________Requestor's Name: ______________________________________________________ Mailing address: _________________________________________City: ______________________Zip:___________ Case Number: __________________________________ Daytime Phone Number: (__ ) ____________________ Case Title: _______________________________________________________________________________________ Document(s) Requested: __________________________________________________________________________ Number of Pages if known: _____________________________ Certification: Yes No -----------------------------------------------------------------------------------------------------------------------------------------------------------------FILL IN THIS SECTION IF YOU DO NOT KNOW YOUR CASE NUMBER A $15.00 search fee is required in addition to any copy and certification fees. If the case was filed on or before December 31, 1996, you may search for the case number yourself in the Records Department at 191 North First Street, San José, CA 95113. If the case was filed on or after January 1, 1997, the case number can be found on our website: www.sccaseinfo.org. You may also request a case number search from Vital Records at www.cdph.ca.gov. Petitioner's complete name at time of filing: __________________________________________________________ Respondent's complete name at time of filing: ________________________________________________________ Estimated year(s) case started: _______ (Search will be made in five year increments (i.e. for 1983 we will search 1981 - 1985) Copy requests that do not include an appropriately sized self-addressed envelope with sufficient postage will be placed in the Family Clerk's Office pick up basket. A clerk will contact you if you need to pick up your copies. Copies remaining 30 days after notification will be discarded. Fees for discarded copies are not refundable. Requests May be Delayed Due to Staffing Shortages. ************************************************************************************************************************************************************************** FOR OFFICE USE ONLY Payment Amount Received: $_____________________ Check Pre-paid Job ID# ________________ Request taken by clerk (clerk name & date): _____________________ Copies made by clerk (clerk name & date) _______________________ Requestor phoned by clerk (clerk name & date): __________________ Message Information: Talked to requestor Left voice message Left message with ___________________ Copy Location Placed on shelf on: __________ Mailed on: _________________ Picked up on: _______________ American LegalNet, Inc. www.FormsWorkFlow.com FM-1183 NEW 8/24/17