Date: VELVA L. PRICE, TRAVIS COUNTY DISTRICT CLERK RECORDS REQUEST
REQUEST SUBMITTED
BY:
NAME: EMAIL:
ADDRESS: CONTACT PHONE NUMBER(S):
REQUEST FOR RECORDS IN CASE #
ONE CASE # REQUEST PER FORM ($5.00 FEE IF SEARCH REQUIRED*)
CIVIL / FAMILY CASE:
district.civilrecords@traviscountytx.gov
CRIMINAL CASE:
districtcriminalrecords@traviscountytx.gov
PLAINTIFF/
PETITIONER:
DEFENDANT:
DEFENDANT/
RESPONDENT:
DEFENDANT
DATE OF BIRTH:
CHILD/
CHILDREN:
OFFENSE DATE:
APPROXIMATE DATE CASE FILED
(When the case first started, not the date it ended):
SPECIFY DOCUMENT(S) NEEDED:
Docket Sheet Final Judgment/Decree/Dismissal All Orders Original Petition Original Answer
Jury Verdict Entire File Bill of Costs Other:
SPECIFY DOCUMENTS TO BE CERTIFIED? YES NO
DELIVERY METHOD: U.S. MAIL (Mail delivery fee $3.00) EMAIL HOLD FOR PICKUP
OTHER INFORMATION /
INSTRUCTIONS:
METHOD OF PAYMENT: Check enclosed Money Order Exempt(Please specify)________________________________
______________________________________________________________________________________________________________
Credit card authorization via signature below
Form of
a
ment must be enclosed to
rocess this re
uest
VISA MASTERCARD AMEX DISC
AMOUNT NOT TO EXCEED: $
CREDIT CARD PAYMENTS CHARGED A NONREFUNDABLE 3%
CONVENIENCE FEE WITH A MINUMUM FEE OF $3.00
CARD #: EXP DATE:
Print name on card and sign
SIGNATURE:
FEE
SCHEDULE
*Records search: $5.00 per name or item
searched
Certified or paper copy:
$1.00/page
Certificate on certified copy:
$1.00
Copy from microfilm (paper or electronic):
$1.00/page
Emailed electronic copy: $
.75/page
Mail delivery fee:
$3.00
MAIL REQUEST
TO:
EMAIL REQUEST
TO:
DISTRICT CLERK RECORDS SEARCH
P.O. BOX 679003 AUSTIN, TX
78767‐9003
512
854‐9457
CIVIL:
district.civilrecords@traviscountytx.gov
CRIMINAL: districtcriminalrecords@traviscountytx.gov
FOR CLERK S USE
ONLY
Search: $_____________ Emailed electronic copy: $____________ Paper/microfilm copy: $______________ Mail delivery: $ 3.00
TOTAL CHARGED: $__________ PMT RECEIPT #:________________ CREDIT AUTH #: ______________
PMT PROCESSED AND SENT BY: _____________________________________ ON: ________________
PLEASE ALLOW 7‐10 BUSINESS DAYS TO PROCESS
click to sign
signature
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