Request for Research

2. Costs:
   THE REQUIRED $10.00 SEARCH FEE PER NAME (REGARDLESS OF RESULTS) MUST BE PAID BEFORE ANY ACTION WILL BE TAKEN
   General Copies: $.50 per page for the first 5 pages of each requested record and $.25 per page thereafter
   Faxing: $1 per page
   Certification: $2 per document certified
   
   *Requested research information will be held for 2 weeks from the application date. If request results are not picked up and paid for within that time period, any additional requests will not be processed without a $20 deposit.
   **PLEASE NOTE THAT WHILE WE WILL DO OUR BEST TO PROCESS THIS REQUEST IN A TIMELY MANNER, IT MAY TAKE UP TWO WEEKS FOR A RECORD SEARCH TO BE COMPLETED.
4. Person to Contact With Information*
5. Telephone*
7. Address
9. Name to Research*
10. Date of Birth*
12. Years to Research*
13. Offenses to Research*
15. Copies Required*
16. Email Address
Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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