RECORDS
REQUEST
1. Complete the attached form in its entirety.
2. You must provide a copy of your driver’s license or ID showing that you are the person
whose records you are requesting, unless you are the attorney of record.
3. If you are a governmental entity or outside party, you must provide a signed authorization
to release records from this person whose records you are requesting.
4. For all other request that do not fall under 1 & 2, you may submit your request in writing
for review and possible inspection.
5. You may return the form:
A. In person to the Municipal Court lobby;
B. In the night deposit” box located on the outside of the building on Forsythe Street;
C. By mail: Beaumont Municipal Court, PO Box 3827, Beaumont TX 77704;
D. By fax to:(409)980-7244;
E. By Email to: MC.Court@BeaumontTexas.gov
6. You will be charged $.10 cents per page for copies, and$1.00 per page for certified copies.
(You will be required to pay in full before copies are
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7. Texas CCP45.017(b) Juvenile Information will only be released to the Juvenile,
Parents/Guardian/Managing Conservator of Juvenile, Attorney for Juvenile, Criminal Justice
Agency, or DPS.
Beaumont Municipal
C
ou
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700Orleans Street *POBox3827
Beaumont, TX 77704-3827
Phone:(409)980-7200 Fax:(409)980-7244
Email: mc.court@BeaumontTexas.gov
RECORDS
REQUEST
*This form must be completed in its ENTIRETY and be LEGIBLE in order to process your reques
t
.
*
Today’s D
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Accident Reports and records must be requested from the
Beaumont Police Department. Call (409)880-3817 for further information.
YOUR INFORMATION:(
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TO
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)
Name:
Address:
City:
State:
Area Code/Contact Phone:
Email Address:
Once your records have been reviewed and processed, you will be contacted by phone and advised the fee owed.
Records will not be released or mailed until payments are received in full.
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PICK UP AT COURT FACSIMILE MAIL (You are responsible for mailing fees.) EMAIL
Please complete as much information on the defendant as poss
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:
Name (Last, First):
Date of Birth:
Drivers License No.:
Case Number(s):
Are you requesting a criminal history on ALL cases dealing with the above defendant? Yes No
If not, please list the specific case number(s) and/or date(s) you are interested in receiving information on:
Please list any other information you may have pertaining to your request:
Are you requesting your document(s) be certified (Fee $1.00 per page) Yes No
OFFICE USE ONLY:
Received:
Date:
Fee:
Contacted: