United States District Court, Southern District of Indiana Updated September 1, 2018 COPY REQUEST FORM Please use the form below to indicate the documents you wish to be copied. If your request is large, please print the appropriate docket sheet from the ACase Information@ feature (PACER or JAMS) of the court222s Website (www.insd.uscourts.gov) and circle all document numbers desired. Please submit your request in person, by mail, or by FAX to the District Court Clerk=s Office. The address and fax number are provided below. When your request is ready, the Clerk222s Office will notify you to arrange for payment and pickup or shipment of the copies. You may call the Clerk=s Office at (317) 229-3700 with additional questions about copy requests. Requests will be processed as soon as possible, and in the order in which they were received. NO REQUEST WILL BE GIVEN SPECIAL CONSIDERATION. Case No.: Case Name : Date Closed: (if applicable) Date Filed # Document Name Requested By: Name: Company: Address: City: State: Zip: Phone: Fax: Fees: $.50 per page* $11.00 per certification $22.00 per exemplification $31.00 for a single electronic copy of a record that is not stored in CM/ECF, nor available through PACER Off-site Retrieval fees (Federal Records Center): Starting at $64 for physical retrieval, and $19.90 for electronic retrieval** *$.10 per page if the electronic records are printed at the public terminal located in the Clerk222s Office (Indianapolis Division) **The $64 physical retrieval fee applies to one box (a $39 fee will be charged for each additional box), and the $.50/per page copy fee will also be charged. Electronic retrieval services are available up to 100 pages 226 starting at $19.90 for retrieval and $.65 per page. The Clerk222s Office accepts payment by check, credit card, money order, and exact cash 226 checks should be payable to: Clerk, U.S. District Court. Mail to: U.S. District Court 46 East Ohio Street, Rm. 105 Indianapolis, IN 46204 FAX to: 317.229.3959 American LegalNet, Inc. www.FormsWorkFlow.com