Fillable FM 1183 FM 1183 (The Superior Court of California, County of Santa Clara)

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FM 1183 FM 1183 (The Superior Court of California, County of Santa Clara)

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FAMILY RECORDS COPY REQUEST FORM
Superior Court of California, County of Santa Clara
Office Location: 201 N. First Street, San Jose, CA 95113
Hours: Monday thru Friday 8:30 am - 3:00 pm
Per page copy fees are in addition to research and certification fees.
Research fee (if no case number provided) …….. $15.00
Certification fee (for Dissolution Judgments only).. $15.00
Certification fee (all other Documents) …………….$40.00
Copy fee per page (2 sided is $1.00) ………………$0.50
not know the amount of pages, write in the memo section of check “Not to Exceed $ (dollar estimate for copies)”.
A receipt will be provided along with your copies
.
Today’s Date:
___________
Requestor’s Name:
______________________________________________________
Mailing address:
_________________________________________
City:
______________________
Zip:
___________
Case Number:
__________________________________
Daytime Phone Number:
(__ ) ____________________
Case Title:
_______________________________________________________________________________________
Document(s) Requested:
__________________________________________________________________________
Number of Pages if known:
_____________________________
Certification:
Yes
No
------------------------------------------------------------------------------------------------------------------------------------------------------------------
FILL IN THIS SECTION IF YOU DO NOT KNOW YOUR CASE NUMBER
A $15.00 search fee is required in addition to any copy and certification fees.
If the case was filed on or before December 31, 1996, you may search for the case number yourself in the Records
Department at 191 North First Street, San José, CA 95113. If the case was filed on or after January 1, 1997, the case
number can be found on our website:
www.sccaseinfo.org
. You may also request a case number search from Vital
Records at
www.cdph.ca.gov
.
Petitioner’s complete name at time of filing:
__________________________________________________________
Respondent’s complete name at time of filing:
________________________________________________________
Estimated year(s) case started:
_______ (
Search will be made in five year increments (i.e. for 1983 we will search 1981 - 1985)
**************************************************************************************************************************************************************************
FOR OFFICE USE ONLY
Job ID#
________________
Payment Amount Received:
$_____________________
Check
Pre-paid
Copy Location
Request taken by
c
lerk
(
clerk name & date
)
: _______________
_
_____
Placed
on
s
helf on: _________
_
Copies made by
c
lerk
(
clerk
name
& date
)
______________________
_
Mailed on: _______________
__
Requestor phoned by
c
lerk
(
clerk
name
& date
):
__
________________
Picked up on: _______________
Message Information:
Talked to requestor
Left voice message
Left message with ___________________
Mail Your Request To:
Superior Court - FJC
Records Request
191 North First Street
San Jose,
CA, 951
13
Copy requests that do not include an appropriately sized self
-
addressed envelope with sufficient postage will be
placed in the Family Clerk’s Office pick up basket. A clerk will contact you if you need to pick up your copies.
Copies remaining 30 days after notification will be discarded. Fees for discarded copies are not refundable.
Requests May be Delayed Due to Staffing Shortages.
FM-1183 NEW 1/07/2020
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FM 1183 FM 1183 (The Superior Court of California, County of Santa Clara)

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Completed 29 June 2021

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