Rev. 10/30/2019
Macomb County Clerk Fred Miller Circuit Court Documents Order Form
Complete and fax to the Macomb County Clerk File Room (586) 469-5365
.
or mail to: Macomb County Clerk’s Office, Attn: File Room, 40 North Main Street, Mount Clemens, MI 48043 or E-mail to: fileroom@macombgov.org
DOCUMENT INFORMATION
Type of document requested: □ divorce judgment □ civil judgment □ criminal sentence □ name search □ docket entry □ with exhibits
□ transcript □ other (explain – be specific)
Case Number: ___ ___ ___ ___ - ___ ___ ___ ___ ___ ___ - ___ ___ (if known) Approximate Date ___ ___ - ___ ___ - ___ ___ ___
___ To get case number, go to: courtpa.macombgov.org
If you do not have y
our case number, you will be charged for a name search ($1.00)
Parties Involved: Plaintiff: v Defendant
REQUESTOR’S INFORMATION
PRINT LEGIBLY
Name: E-mail address:
Mailing Address: City, State, Zip:
Daytime phone number: Fax number:
SELECT TYPE OF COPY REQUESTED: Type of credit card being used:
□ Regular copies ($1.00 per page) □ VISA □ MasterCard □ Discover □ American Express
□ Certified copies ($10 plus $1 per page) Credit Card Number:
□ Authenticated copies ($10 plus $1 per page) ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___
□ Name searches ($1 per name) Expiration Date: ___ ___ - ___ ___ Billing Zip Code ___ ___ ___ ___ ___
□ Faxed copies ($10.00 plus $1 per page) CVV (3 digit security code on the back of the card) ___ ___ ___
□ Dockets ($1 per volume up to $5.00) I authorize the Macomb County Clerk’s Office to charge me
□ Transcripts ($.30 per page) up to this amount for the documents I have selected $ ______________.
DELIVERY METHODS: Cardholder Name (print):
□ E-mail (no additional charge)
□ U.S. Mail first class (no additional charge) Cardholder Signature (required):
□ Pick up at Clerk’s Office (no additional charge)
□ A receipt with your final costs will be mailed to you. Expedited (Your order processed ASAP) -- $24.00
If additional funds are required, you will be contacted before your credit card is charged.
For help completing this form call:
(586) 469-5199