Record Search Request Form
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Record Search Request Form. This is a California form and can be use in Santa Cruz Local County.
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Tags: Record Search Request Form, SUPCR-1100, California Local County, Santa Cruz
Superior Court of California
COUNTY OF SANTA CRUZ
701 Ocean Street, Room120
Santa Cruz, CA 95060
831-420-2200
RECORD SEARCH REQUEST
(Please Print)
Submit the following information (allow at least three weeks for processing):
A $15.00 fee will be assessed for all record searches.
Date Paid: ____________________
Name:
(First)
(Middle)
(Last)
Alias(es): _____________________________________________________________________
_____________________________________________________________________
Drivers License Number: _______________________________________________________
Date of Birth: _________________________________________________________________
Place of Birth: ________________________________________________________________
Please choose one of the following methods in order to provide you with your record search
request:
( ) If picking up, provide telephone number: _________________________________________
(Area code)
(Telephone number)
( ) If mailing, include a self-addressed stamped envelope.
Include name and address of requesting party:
____________________________________________________________
(Name)
________________________________________________________________________________
(Street Address)
________________________________________________________________________________
(City, State, Zip Code)
SUPCR1100 10/20/10
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