Public Records Request
Anonymous?
Mr.
Ms.
First:
Middle:
Last:
Company:
Topic:
Select a common topic
Building plans
Contracts/Agreements
General
Ordinance/Resolution
Other
Police Report
Zoning Maps
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Daytime Phone:
(xxx-xxx-xxxx)
Cell or
Other Phone:
Mailing Address:
Suite/Apt.
City:
State:
Zip:
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Email Addr:
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Re-Enter
Email Addr:
Fax Number:
Court Public Request
Labels flagged with a
*
indicate a required field.
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RECORD SPECIFIC INFORMATION
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Name of Defendant:
Middle:
Last:
Date of Birth:
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Charge/Offense:
Incident Date/Time:
Time:
AM
PM
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Description of Request
(Please include as much detailed information as possible, as this will help us better serve you.)
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I am requesting the following
for the records stated above:
1) To obtain a copy of the Court Record/Police Report.
2) To obtain a sealed certified copy of the Court Record.
If you need any further assistance, please contact the Municipal Courts office at 636-240-8766
Public Records Request by Destiny Software, Inc.