NAME AND MAILING ADDRESS OF REQUESTING PARTY: FOR COURT USE ONLY TELEPHONE NUMBER: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SOLANO DATE: _________________________ _______________________________ Deputy Clerk Fairfield Division - 600 Union Ave., Suite 151, Fairfield, CA 94533 Vallejo Division - 321 Tuolumne Ave., Vallejo, CA 94590 REQUEST FOR RECORD SEARCH AND COPIES CASE NUMBER: Please complete the information below to request a record search or copies of court records. You will be required to pay the fees assessed in advance for the records being provided to you. Please complete all known information: Name to be searched: ____________________________________________Date of Birth: _________ First Middle Last If case number is unknown provide approximate case filing time period:__________________________________ (Years to be searched) Criminal cases that occurred in Fairfield, Suisun City, Vacaville, Dixon, and Rio Vista have case numbers beginning with F, FC, or FCR. Criminal cases that occurred in Benicia or Vallejo have case numbers beginning with V, VC, or VCR. Criminal Document(s) Requested (Please be as specific as possible) Certification Requested Please provide a self-addressed stamped envelope $15.00 $ 0.50 $ 1.00 $25.00 Searching for each name, case number, records, or files for search longer than 10 minutes. GC 70627(c) Copy per page. GC 70627(c) Double-sided copy GC 70627(c) Certification of a copy of paper, record, or proceeding on file. GC 70626(a)(4) The court accepts checks and money orders. Make payment payable to Solano Superior Court, ATTN: Criminal Division, to the appropriate court location as listed above. All checks must be pre-printed with account holder's name and address. If you are unable to determine the amount due, submit a check payable to the Solano Superior Court with an amount stating "Not to exceed $75.00" on the memo line at bottom left. This is an estimated amount for the fees due. This payment will allow the Clerk to process your request and to apply the monies to the cost of the research and copy fees. The Clerk will write in the actual amount due on the check, not exceeding the authorized amount of $75.00, and mail a receipt to the requestor. PLEASE DO NOT MAIL CASH. FOR COURT USE ONLY Record Search Fee: Copy Fee: Certification Fee: $15.00 if search is over 10 minutes Total $________ $ .50 x number of pages _______ Total $________ $ 25.00 x number of documents _______ Total $________ $________ TOTAL FEE DUE $________ TOTAL FEE PAID Form #4021 American LegalNet, Inc. www.FormsWorkFlow.com