Clerk of Courts Odyssey User ID Application Request Attorney Information You must enter your attorney information to register. Only members of the Florida Bar Association may register. Fields proceeded with an * are mandatory. Failure to complete may delay process. Once the form has been completed please print, sign, date and mail to: Clerk of Courts Technical Services Division / Help Desk 175 N.W. 1st Avenue, 27th Floor, Box #7 / Miami, FL 33128 * Florida Bar Attorney ID: Firm: (if applicable) * Last Name: * First Name: Middle Initial/Name: * Address: * City: * State: * Zip: * Telephone Number: Format: xxx-xxx-xxxx Fax Number: Format: xxx-xxx-xxxx * E-Mail Address: * Last four (4) digits of your Social Security Number: (This will be used to validate customer identity when requesting password reset or changing personal information) Please be advised: The Clerk’s Office makes every effort to ensure the accuracy of the following information; however it makes no warranties or representations whatsoever regarding the completeness, accuracy, or timeliness of such information and data. This web site is intended for the private use of the public for general informational purposes only. The information available through this website is not an official or certified record. To review the complete Miami-Dade County Disclaimer, follow this link: http://www.miamidade.gov/info/disclaimer.asp * AGREED * Signature: _____________________________ Date: ________________________ CLK/CT. 965 Rev. 09/08 American LegalNet, Inc. www.FormsWorkflow.com