DOUGLAS COUNTY DISTRICT COURT RECORDS REQUEST Log No.____________ Phone: (785) 832-5141 or 5271 E-mail: courtrecords@douglas-county.com Fax: (785) 832-5258 Mailbox #:__________ FILES MAY ONLY BE VIEWED WITHIN THE OFFICE OF THE CLERK OF THE COURT. FILES MAY NOT BE DISASSEMBLED. DO NOT REMOVE ANY PAGES FROM ANY COURT FILE. DO NOT MARK ON ANY PAGE WITHIN ANY COURT FILE. RECORDS WILL BE PRODUCED THREE BUSINESS DAYS AFTER THE REQUEST IS RECEIVED. FILES MAY BE VIEWED WITHIN ONE BUSINESS DAY IF FILES ARE AVAILABLE. Person Requesting (required): ______________________________________________________________________ Attorney Firm: __________________________________________________________Mailbox Number: _____________ Daytime Phone (required): (_____) _______________________Date (required):______________________________ Mailing Address: ____________________________________________________________Zip Code: ______________ E-mail Address: ________________________________________Fax Number: ________________________________ LIST CASE NUMBERS AND NAMES BELOW If requesting copies, please note which specific documents you need copies of, how many you need, and whether you need documents certified (extra cost). All requests are subject to availability of records at the time the inquiry is made. Check Out Files/ View Files / Copies: Mailed / Faxed / Picked up (please circle one) __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ Copies are 25¢ per page. Certified copies are $1.00 per document plus copy price. Authentications are $2.00 per document plus copy price. Shipping & handling for mailed requests: $1.00 Faxed Copies: Local number $1.00 per page Long Distance $2.00 per page A search fee of $12.00 per hour may be charged. Remit billed payments to: District Court Clerk Records, 111 E. 11th St., Lawrence, KS 66044 For Office Use Only Total amount owed $__________ Attorneys: Due date: This file must be returned immediately upon request of the Court. Receipt No. _________________ American LegalNet, Inc. www.FormsWorkflow.com