Superior Court of California  County of San Francisco  Records Request Form CRIMINAL DIVISION-HALL OF JUSTICE 850 BRYANT STREET ‐ ROOM 101 ‐ SAN FRANCISCO, CA 94103    GOVERNMENT AGENCIES ONLY REQUESTOR INFORMATION: ___________________________________________________________ ADDRESS: ______________________________________________ DEFENDANT’S NAME: ___________________________________ DATE OF ARREST VIOLATION(S): COURT NO. PHONE: _______________________ AKA: ___________________________________ ACTION NO. ________________________ SF NO. FUTURE CRT DATE(S): __________________________ ________________________ ________________________ __________________________ ________________________ Plain Copy .50/page __________________________ __________________________ Certified Copy $25.00 + page fee Document Requested ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ CERTIFICATE OF THE RECORD For faster service, please check here if you would like a Certificate of the Record in this case instead of actual copies from the file. Certificate of the Record is a document that certifies what the defendant was convicted of and the disposition of the case. Certificates are $25 per court number. VIEW DOCKET ONLY- No Copies Requested EXEMPLIFICATION EXPEDITE RECORDS REQUEST ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- COURT USE ONLY FOR GOVERNMENT RECORDS REQUEST RECEIVED BY DATE TOTAL PAGES DELIVERED BY DATE TOTAL PAGES EXPEDITE RECORDS REQUEST ( ) DENIED ( TOTAL COSTS ) GRANTED If request is denied or records are unavailable, explain here: CRIMINAL RECORDS-Adopted: May 27, 2011 (Non-Electronic Version) American LegalNet, Inc. www.FormsWorkFlow.com