SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER: Central - 700 Civic Center Dr. West, Santa Ana, CA 92701-4045 Civil Complex Center - 751 W. Santa Ana Blvd., Santa Ana, CA 92701-4512 Harbor-Laguna Hills Facility - 23141 Moulton Pkwy., Laguna Hills, CA 92653-1251 Harbor-Laguna Niguel Facility – 30143 Crown Valley Parkway, Laguna Niguel, CA 92677-2089 Harbor-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660-2595 Lamoreaux - 341 The City Drive, Orange, CA 92868-3205 North - 1275 N. Berkeley Ave., P. O. Box 5000, Fullerton, CA 92838-0500 West - 8141 13th Street, Westminster, CA 92683-4593 REQUEST FOR RECORD SEARCH I am requesting a search of court records for the following case type: Unlimited Civil Limited Civil Small Claims Family Law Probate Criminal Traffic (Based on the case type you selected, the Request for Record Search will be processed by the justice center you identified at the top of this form. For information regarding retention period of records kept by the court, please refer to Form Number L1018, Government Code Section 68152 or California Rule of Court 6.755) Requesting Party: ____________________________________________ Date: ________________ Mailing Address: ___________________________________________________________________ (Street Address) (City) (Zip) Case Name/Name to be searched: ____________________________________________________ Date of Birth: ______________________Driver’s License/State Identification: __________________ Years to be searched: from __________________________ to __________________________ Case/Citation #: ___________________________________________________________________ In accordance with Government Code Sections 70627 & 70633, fees are required as follows: Record Search Fee: Copy Fee: Certification Fee: $15.00 / Name searched $ .50 / Page $15.00 / Document Check Box if you require your document to be certified. Payment must submit at the time the request is made. Send a check for the amount of “Not to Exceed Fifty Dollars” payable to: Clerk of the Court. This area to be completed by court personnel only Receipt Number ____________________________________ Record Check Fee ________ X $15.00 = ____________ Total Copy Fee _______________ X $ .50 = _____________Total Certification Fee __________ X $15.00 = _____________Total Total Fees Due $_____________ Total Fees Paid $_____________ L-6 REQUEST FOR RECORD SEARCH American LegalNet, Inc. www.FormsWorkflow.com