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2. Today's date and time
   Today's date and time

   Today's date and time
4. Contact Phone Number
6. Full Name and/or Agency
8. Full Addrress
10. Type of Request
    -- Select One --Private IndividualAppointed AttorneyAdvocate AgencyPrivate AttorneyOther
12. Email address
14. Fax Number
16. Full Name and Case Number or Case Type (Searches for specific cases only)
18. The Court Clerk has up to three days from the time of this submission to respond to your request. The requester is to abide by all confidentiality laws and regulations in regards to records obtained.
20. Typing your name and date below conveys your signing of this document
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22. 1. Receive an email copy of this form.
23. Email address

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24. Submit

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