Fillable Records Request Form New Jersey Judiciary Email ext. (NJ Judiciary)

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Records Request Form New Jersey Judiciary Email ext. (NJ Judiciary)

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Revised: 11/08/2017, CN: 10200 page 1
New Jersey Judiciary
Records Request Form
Request Date
Preferred Delivery
Pick Up
US Mail
Request Needed By
On Site Inspection
Fax
Email
Part A: Requestor Identification
Last Name
First Name
Address
Daytime Telephone (Include area code)
ext.
City
State
Zip Code
Fax/Email (optional)
Part B: Records Request Processing Location
Please select one of the locations below to process your records request.
County
Appellate Division Clerk’s Office
Office of the Administrative Director
Division
Supreme Court Clerk’s Office
Municipal Court
Superior Court Clerk’s Office
Tax Court Clerk’s Office
Other
Part C: Case Identification
Case Name
Docket/Complaint/Ticket Number*
*In Criminal and Municipal Cases, if you do not know the docket number, please provide Defendant’s information:
Defendant Name and alias(es), if any
Defendant Birth Date
Last 4 digits of Defendant’s
Social Security Number
Indictment/Arrest Date
Indictment/Accusation/
Complaint/Municipal Number
Appeal Number
Sentencing Date
Name of Sentencing Judge
Part D: Records Requested by Division
Please describe records requested as completely as possible. Include any case numbers, dates and names of individuals involved.
Attach additional pages if necessary.
Part E: Copy Fees
Copy Fees:
Special Copy Requests - Additional fees will be charged
Are you a named party or
attorney in this case?
5¢ per page letter size
Seal only
Certified without Seal
7¢ per page legal size
Certified with Seal
Exemplified (includes Seal)
Yes
No
For Judiciary Use Only
Disposition
Disposition Date
Delivered
Denied
Unavailable
If request is denied or records are unavailable, explain here. Attach additional pages if necessary.
For Tax Court Records return this form to: txctrecords.mailbox@njcourts.gov
For all other requests return this form to: SCCO.Mailbox@njcourts.gov
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Records Request Form New Jersey Judiciary Email ext. (NJ Judiciary)

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Completed 21 July 2020

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