United States District Court Southern District of Texas Galveston Division Phone: 409-766-3530 Copy Request Form Date: Firm: Address: Fax: 409-766-3549 Requested by: Phone: Link to fee schedule: http://www.txs.uscourts.gov/district/formsfees/feeschedule.htm Case Number: Case Name: Documents Requested: Do you require certified copies? (Certified copies cannot be emailed and/or faxed.) Search Requested: _____Bankruptcy _____Civil _____Criminal Please send documents via: Mail_______ Pick-up_______ E Mail*:_______________________ Fax**:_____________________Shipping Provider and Account Number:_________________________ *Documents requested must be less than 3 megabytes. **Document must be 25 pages or less. American LegalNet, Inc. www.FormsWorkFlow.com