SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE JUSTICE CENTER addresses: 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-Newport Beach Facility - 4601 Jamboree Rd., Newport Beach, CA 92660 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 Directions: Complete and deliver or mail with payment to the Justice Center(s) above where the search is to be conducted. Requestor's Name: (Street/Address) Phone: ( (City) ) ________________________ (State) (Zip Code) Mailing Address: __________________________________________________________________________ Case name/name to be searched: ____________________________________________________________ Date of birth (if known): _____________________________________________________________________ Driver's license (if known): __________________________________________________________________ Years to be searched: from Case type(s) to be searched: Unlimited Civil - Central Family Law - Lamoreaux Probate - Lamoreaux and/or Limited Civil Small Claims Criminal Traffic at the following Justice Center(s): Central Harbor/Laguna Hills Harbor/Newport Beach North West Record Search Fee $15.00 per Name searched and per Case type searched. Send check payable to "Clerk of the Court" and below the amount write "Not to Exceed Fifty Dollars". To pay by Credit Card, please complete the following: --------------------------------------------------------------------------------------------------------------------------------------------------I hereby authorize the Superior Court of Orange County, to charge my credit card account in an amount not to exceed $50.00. (If request exceeds $50.00 you will be contacted.) Preferred method of contact: Phone ( _______ ) _______ - _________ Visa MasterCard Discover or Email address _______________________________ American Express Diner's Club to _____________________________________ Card # ________ - ________ - ________ - ________ Exp Date ________ / ________ Zip Code _____________ Date __________________ Cardholder's Signature ______________________________ L-0006, Optional Form (Rev. February 11, 2014) REQUEST FOR RECORD SEARCH American LegalNet, Inc. www.FormsWorkFlow.com