ADMINISTRATIVE OFFICE OF THE COURTS
RECORDS UNIT
1001 VANDALAY DRIVE
FRANKFORT, KENTUCKY 40601
502-573-1682 or 800-928-6381
records@kycourts.net
The process to obtain the information contained in CourtNet is as follows:
Individuals
Requesting a record on yourself requires a $25.00 fee (check or money order). If you do not receive a response
in 30 days contact us at the number listed above.
Nonprot/Commercial/Others
Requesting a record on individuals requires a $25.00 fee (check or money order).
Fees are paid to the order of the KENTUCKY STATE TREASURER by check or money order ONLY. FAILURE TO
COMPLY WITH THESE PROCEDURES WILL RESULT IN THE REQUEST BEING RETURNED UNPROCESSED. If
you suspect information contained on the record is incorrect, or have any questions, please contact the Records Unit at
(502) 573-1682 or (800) 928-6381.
PLEASE PRINT OR TYPE THE INDIVIDUAL'S INFORMATION CLEARLY.
SOCIAL SECURITY NUMBER: ____________________________ DLN: ____________________________
NAME: _________________________________________________________________________________
MAIDEN NAME(S) AND/OR ALIAS: __________________________________________________________
DATE OF BIRTH: ____________________________
STREET ADDRESS/P.O. BOX: _____________________________________________________________
CITY, STATE, ZIP CODE: __________________________________________________________________
I understand the information supplied by me must be truthful and falsication with an intent to mislead may result
in my prosecution under KRS 523.100. I have provided the basic information necessary to qualify for record
processing and exemption of fees - if applicable.
* ALL INFORMATION BELOW IS REQUIRED.
___________________________________________________
Individual's Signature
___________________________________________________
Company
___________________________________________________
Requestor/Contact Person
___________________________________________________
Address
___________________________________________________
City, State, Zip
___________________________________________________
Date
___________________________________________________
E-mail address
___________________________________________________
Telephone Number
AOC-RU-004
Rev. 7-18
Page 1 of 1
www.courts.ky.gov
Please denote which purpose applies to this request:
Employment
Criminal Investigation
Screening Housing Applicants
Volunteer/Care over Juvenile
Licensing
Other (please explain) _____________________________
__________________________________________________
Elizabethtown Community & Technical College
Carla Allen
600 College Street Road
Elizabethtown, KY 42701
Nurse Aide Course
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