New Nov. 9, 2016 REQUEST FOR RECORD SEARCH – Proposition 64
SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE
JUSTICE CENTER addresses:
Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045
Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660
North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500
West - 8141 13th Street, Westminster, CA 92683-4593
REQUEST FOR RECORD SEARCH – Proposition 64
Directions: Complete and deliver or mail to the Justice Center(s) above where the search is to be conducted.
I understand by completing this form that only records for violations of Health and Safety sections 11357,
11358, 11359, and 11360 will be provided
Requestor’s Name: Phone:
Maili
ng Address
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Case name/
name to be searched:
Date of birth (if known):
Driver’s license(if known)Gr
iver's license number/issuing state
Ye
ar
s to be searched: Fromto
Criminal case t
ype to be searched at the following Justice Center(s):
Central Harbor – Newport Beach North West
NOTE: If you require certification of the search results, please follow the instructions below for payment of
the $25 fee, pursuant to Government Code section 70626(a)(4).
• Send check payable to “Clerk of the Court” and below the amount write “Not to Exceed Twenty-
Five Dollars”, OR
• To pay by Credit Card, please complete the following:
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I hereby authorize the Superior Court of Orange County, to charge my credit card account in an amount not to
exceed $25.00. (If request exceeds $25.00 you will be contacted.)
Preferred method of contact:
Phone OR Email address:
Visa MasterCard Discover American Express Diner’s Club
Card number:
Expiration date: Zip code:
Date
Cardholder’s Signature
