en-USThe process to obtain the information contained in CourtNet is as follows:en-USIndividuals for License þ Requesting a record on yourself for the purpose of obtaining a License requires a en-US$25.00 feeen-US en-US(check or þ money order) en-US. þ en-USFees are paid to the order of the KENTUCKY STATE TREASURER by check or money order ONLY. en-USFAILURE TO COMPLY WITHen-US en-USTHESE PROCEDURES WILL RESULT IN THE REQUEST BEING RETURNEDen-US en-USUNPROCESSED.en-US en-USIf you suspect information contained on the record is incorrect, or have any questions, please en-UScontact the Records Unit at (502) 573-1682 or (800) 928-6381.en-USPLEASE en-USPRINT OR TYPEen-US THE INDIVIDUAL'S INFORMATION en-USCLEARLYen-US. SOCIAL SECURITY NUMBER: þ DLN: en-USNAME: en-USMAIDEN NAME(S) AND/OR ALIAS: en-USDATE OF BIRTH: en-USSTREET ADDRESS/P.O. BOX: en-USCITY, STATE, ZIP CODE: en-USI understand that failure to accurately provide the information requested may result in my prosecutionen-US en-USunder KRS 523.100. I have provided the basic information necessary to qualify for record processing.en-US* ALL INFORMATION BELOW IS REQUIRED.en-US Requestor/Contact Person þ Date en-US en-US Agency þ Phone Number en-US en-US Address þ E-mail Address en-USen-USen-USen-USCity, State, Zip en-USMAIL REQUESTS TO:en-USADMINISTRATIVE OFFICE OF THE COURTSen-USRECORDS UNITen-US1001 VANDALAY DRIVEen-USFRANKFORT, KENTUCKY 40601en-US502- 573-1682 or 800-928-6381 en-USLICENSING AGENCY REQUESTen-USAOC-RU-005en-USRev. 7-18en-USPage 1 of 1en-USCommonwealth of Kentuckyen-USCourt of Justice en-USwww.courts.ky.goven-USrecords@kycourts.net American LegalNet, Inc. www.FormsWorkFlow.com