Madera Superior Court Form Adopted for Optional Use MAD - CRM - 0001 (Rev. 3/ 12 /19 ) REQUEST FOR RECORDS SEARCH CRIMINAL DIVISION Page 1 of 1 SUPERIOR COURT OF CALIFORNIA 225 COUNTY OF MADERA Criminal Division 200 South G Street Madera, CA 93637 PH: (559) 416-5550 FAX: (559) 675-7618 Hon., Dale J. Blea - Presiding Judge Bonnie Thomas - Court Executive Officer/Jury Commissioner Hon. Michael J. Jurkovich - Asst. Presiding Judge Amy Downey - Assistant Court Executive Officer REQUEST FOR RECORDS SEARCH 226 CRIMINAL DIVISION FEES: $15.00 Fee for Record Search: PER NAME SEARCHED (AT TIME OF REQUEST) $25.00 Fee for each Certified Copy requested $ .50 Fee will be charged for each copy requested. Purpose of Request (OPTIONAL): (RECORDS START FROM 1980 TO PRESENT -OR- WHEN YOU TURNED 18 YEARS OLD) Please indicate the year(s)/anos you want searched: Records to be searched for: [Criminal Division Only] Name/Nombre: DOB:/Fecha de nacimento: Aliases/Aka222s/othro nombres usado: Other Information/otra informaci363n: Note: 1. If you provide the case number(s), your request may be processed at the time of submission. 2. If you do not provide the case number(s), your request will take up to one (1) to six (6) weeks to process. You may contact the record search desk after three (3) weeks regarding the results of the record(s) search. 3. For further record search(es), you may contact Madera Superior Court Criminal Division at (559)416-5550 Requesting Parties Information: Name: Contact Number: Address: City/County: State: Zip Code: Date: Print Name Signature American LegalNet, Inc. www.FormsWorkFlow.com