REQUEST & AUTHORIZATION TO INSPECT RECORDS Family Code 7643(b) Date: ____________ Case Number:_____________ Case Name: _________________ vs. ________________________ Person Requesting to Inspect Records Name:____________________ ( )Attorney ( ) Attorney Service Business/Firm Name_____________________________ Address: _____________________________ _____________________________ Phone: ______________________________ PERSON AUTHORIZING INSPECTION OF RECORDS ( ) Attorney of Record ( ) Respondent ( ) Petitioner Name: ________________________________ ________________________________ Address: ________________________________ _________________________________ Phone: _________________________________ Date: ________________ Signature: _________________________ ( ) See Attached Written Authorization To Be Completed By Court Staff Record Inspected on _______________ ( ) File-Vol# ___________ ( ) Document(s) Title__________________ Filed Date: _______________ CDL# ______________ ( ) Bar# ______________ ( ) Other ID#___________ ( ) Document(s)/File(s) Return Date: __________________ FAM-050 REQUEST & AUTHORIZATION TO INSPECT RECORDS FC 7643(b) American LegalNet, Inc. www.FormsWorkFlow.com