Records Request Form

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Executive Summary

This document is a Records Request Form for the New Jersey Judiciary. It allows individuals to request access to court records by specifying the requesting party's information, the processing location (County, Division, Court), case identification details (Case Name, Docket Number, Defendant information), and a description of the requested records. The form also outlines copy fees and special copy request options.

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Document Text

--- Document: Records Request Form Document ---
Revised: 07/12/2011, CN: 10200 
 
page 1 
 
New Jersey Judiciary 
Records Request Form 
Request Date 
Preferred Delivery 
     
 Pick Up 
 
 US Mail 
Request Needed By 
 On Site Inspection 
     
 Fax 
 
 Email 
 
Part A: Requestor Identification 
Last Name 
Middle Initial 
First Name 
      
      
      
Address 
Daytime Telephone (Include area code) 
      
      
ext.       
City 
State 
Zip Code 
Fax/Email (optional) 
      
      
      
      
 
Part B: Records Request Processing Location  
Please select one of the locations below to process your records request.  
County       
 Appellate Division Clerk’s Office 
 Office of the Administrative Director 
Division       
 Supreme Court Clerk’s Office 
 Municipal Court       
 Superior Court Clerk’s Office 
 Tax Court Clerk’s Office 
 Other       
 
Part C: Case Identification 
Case Name 
Docket/Complaint/Ticket Number* 
      
      
*In Criminal and Municipal Cases, if you do not know the docket number, please provide Defendant’s information: 
Defendant Name and alias(es), if any  
Defendant Birth Date 
Last 4 digits of Defendant’s
Social Security Number 
      
      
      
 Indictment/Arrest Date 
Indictment/Accusation/ 
Complaint/Municipal Number 
Appeal Number 
Sentencing Date 
Name of Sentencing Judge 
 
      
      
      
      
      
 
Part D: Records Requested by Division 
Please describe records requested as completely as possible.  Include any case numbers, dates and names of individuals involved. 
Attach additional pages if necessary. 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Part E: Copy Fees 
Copy Fees: 
Special Copy Requests - Additional fees will be charged 
Are you a named party or 
attorney in this case?  
5¢ per page letter size 
 Seal only 
 Certified without Seal 
7¢ per page legal size 
 Certified with Seal 
 Exemplified (includes Seal) 
 Yes 
 No 
For Judiciary Use Only 
Disposition 
Disposition Date 
 Delivered 
 Denied 
 Unavailable 
      
If request is denied or records are unavailable, explain here. Attach additional pages if necessary. 
 
 
 
 
 
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