Fillable Fees are paid to the order of the (Administrative Office of the Courts)

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Fees are paid to the order of the (Administrative Office of the Courts)

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The process to obtain the information contained in CourtNet is as follows:
Individuals for License
Requesting a record on yourself for the purpose of obtaining a License 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 that failure to accurately provide the information requested may result in my prosecution
under KRS 523.100. I have provided the basic information necessary to qualify for record processing.
* ALL INFORMATION BELOW IS REQUIRED.
___________________________________________________ ___________________________________________________
Requestor/Contact Person Date
___________________________________________________ ___________________________________________________
Agency Phone Number
___________________________________________________ ___________________________________________________
Address E-mail Address
__________________________________________________________________________________________________________
City, State, Zip
MAIL REQUESTS TO:
ADMINISTRATIVE OFFICE OF THE COURTS
RECORDS UNIT
1001 VANDALAY DRIVE
FRANKFORT, KENTUCKY 40601
502- 573-1682 or 800-928-6381
LICENSING AGENCY REQUEST
AOC-RU-005
Rev. 7-18
Page 1 of 1
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
records@kycourts.net
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Completed 20 July 2020

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