UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF CALIFORNIA Certified Copy Request Form Date of Request:__________________________ Case Name:____________________________________________________________________ Case Number:______________________________ Adversary Case Number:_______________ Title of Document:______________________________________________________________ Filed Date:______________________ Document Number (From Docket):__________________ REQUESTING PARTY: Name:________________________________________________________________________ Address:______________________________________________________________________ City, State, Zip:_________________________________________________________________ Phone Number:_________________________________________________________________ SELECT ONE OF THESE OPTIONS TO HAVE YOUR DOCUMENTS MAILED: Mail to requester at address provided above Mail to third party/entity at the following address: SELECT ONE OF THESE OPTIONS TO PICK UP YOUR DOCUMENTS AT A LOCAL OFFICE: Requesting Party will be notified at phone number listed above when document is ready for pickup. EDC 1-200 Revised 6/2/15 American LegalNet, Inc. www.FormsWorkFlow.com