ATTORNEY: FOR COURT USE ONLY Bar No.: NAME AND MAILING ADDRESS OF REQUESTING PARTY: RECEIVED TELEPHONE NUMBER: DATE: _____________________ SUPERIOR COURT OF CALIFORNIA, COUNTY OF MONTEREY Salinas Division – 240 Church Street, Salinas, CA 93901 King City Division – 250 Franciscan Way, King City, CA 93930 Marina Division – 3180 Del Monte Boulevard, Marina, CA 93933 Monterey Division – 1200 Aguajito Road, Monterey, CA 93940 CONNIE MAZZEI CLERK OF THE SUPERIOR COURT REQUEST FOR RECORD SEARCH AND COPIES ______________________, Deputy CASE NUMBER: Please complete the information below to request a record search or copies of court records. You will be required to pay the required fees in advance of the records being provided to you. Please complete all known information: Name to be searched: ____________________________________________________ Date of Birth: _____________ First Middle Last Driver’s License: _______________________ Filing Date: _______________ Disposition Date: __________________ If case number is unknown provide approximate case filing time period: ______________________________________ (Years to be searched) Certification Requested _Document(s) Requested (Please be as specific as possible) Will Wait Please Mail (provide self-addressed stamped envelope) Record Search Fee: Copy Fee: Certification Fee: Please Call for Pick Up Please Hold Until _______ $15.00 per name searched $ .50 per page $25.00 per document Please issue a check payable to the Superior Court, Attn: Criminal Records, 240 Church Street, Salinas, CA 93901. The Clerk’s Office accepts cash, checks, money orders, MasterCard, VISA and American Express. There is an additional fee for paying by Visa or American Express. All checks must be preprinted with account holder's name and address. If you are unable to determine the amount due, submit a check payable to the Superior Court with an amount stating "Not to exceed $75.00 Dollars"; this is an estimated amount for the fees due. This payment will allow the Clerk to process your request and to apply the monies to the cost of the research and any other records-related fees. The Clerk will write-in the actual amount due on the check, not exceeding the authorized amount of $75.00. If there is an overpayment a refund will be issued within 30 days after the check has posted. PLEASE DO NOT MAIL CASH. FOR COURT USE ONLY: Record Search Fee: Copy Fee: Certification Fee: $15.00 Total $ _______________________ .50 x number of pages______________ Total $ _______________________ $25.00 x number of documents __________ Total $ _______________________ Waiver of Court Fees (Filed and accepted) SCR-200 (New January 2011) Cash/Money Order REQUEST FOR RECORD SEARCH AND COPIES Check Credit Card American LegalNet, Inc. www.FormsWorkFlow.com