Fillable PUBLIC RECORDS REQUEST (Miami-Dade County Clerk of the Courts)

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PUBLIC RECORDS REQUEST (Miami-Dade County Clerk of the Courts)

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CLK/CT. 466 Rev. 12/20 Clerk’s web address: www.miami-dadeclerk.com
IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
CLERK OF COURTS
Records Management
PUBLIC RECORDS REQUEST
Request Date: ____________
1. REQUESTOR CONTACT INFORMATION
Name: ______________________________________________________________
Address: ____________________________________________________________
City/State/Zip: _______________________ Telephone: (_____)______________
Email Address: _______________________________________________________
SUBMIT TO:
Miami-Dade County Clerk of Courts
Records Management
P.O. BOX 14695
Miami, Florida 33101
Email: COCPUBREQ@miamidade.gov
2. REQUESTED / INFORMATION (E.g.: Division, Case #, Case Type, Date Range, etc.) *(See Section 3. for list of Divisions)
(If more space is needed, please attach additional information)
Note: All requests will be Administratively Closed after ninety (90) days for nonpayment or nonresponse.
FOR RECORDS MANAGEMENT USE ONLY
3. DIVISION(S) RECEIVING REQUEST (RM Use Only) Control No. ______________
CIVIL
CRIMINAL
FAMILY
PROBATE
DOMESTIC VIOLENCE
DISTRICTS
FINANCE
JUVENILE
CLERK OF THE BOARD
TRAFFIC MISDEMEANOR
OTHER______________________
FOR DIVISION USE ONLY
4. CATEGORY OF REQUEST:
Category 1 Category 2 Category 3
5. REQUEST RECEIVED IN DIVISION:
Received By/DPRRL: ______________________________ DATE: _____________
6. COST ESTIMATE AND TIME:
TIME TO BE COMPLETED: ____________ COC $ ___________ ITD $___________ TOTAL ESTIMATE $______________
7. RECORD(S) / DATA FEE:
TOTAL COST $ _____________ RECEIPT/INVOICE #: ____________ DATE PAID: ____________ CHECK # ___________
8. CONFIRMATION OF COMPLETION: (Must be completed in full)
CIVIL FAMILY PROBATE DOMESTIC VIOLENCE DISTRICTS JUVENILE CRIMINAL
COB FINANCE RECORDING TRAFFIC MISDEMEANOR OTHER _______________________
9. ADMINISTRATIVELY CLOSED (90 Days after last correspondence) DUE TO:
NON-RESPONSE (from Requestor) NON-PAYMENT OTHER: _________________________________________
__________________________________________________ ______________________________________
Print Name (DPRRL) Title
__________________________________________________ _______________________________________
Signature (DPRRL) Date
10. DELIVERY COMPLETED BY: PICKED UP MAILED EMAILED OTHER ______________
IF PICKED UP, PLEASE HAVE RECIPIENT COMPLETE & SIGN BELOW
___________________________________________ ___________________________________ _____________________
Print Name Recipient’s Signature Date
CLK/CT. 466 Rev. 12/20 Clerk’s web address: www.miami-dadeclerk.com
Instructions for Filling Out Public Records Request
Please Note:
*All Public Records Request must be submitted to Records Management for processing.
*A Public Records Request number will be provided for each request for indexing purposes.
*All Public Records Request must be returned to Records Management upon completion.
To request a public, a public records request should be submitted to Records Management. Fill out the
form as follows:
1. Requestor Contact Information: Name, address, phone number and email address.
2. Requested records information to be filled out by patrons.
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PUBLIC RECORDS REQUEST (Miami-Dade County Clerk of the Courts)

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Completed 29 July 2021

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