DISTRICT COURT OF MARYLAND FOR Located at Court Address City/County APPLICATION TO INSPECT PUBLIC RECORDS I wish to view the following records of this court: Case Number* : Case Name: Defendant: Plaintiff (Civil Case only): list all cases. The charge for photocopies is $ .50 per page (no additional charge for true test copies). The charge for certified copies is $5.00 per document. Trial Date: Type of Case Traffic Criminal Civil Other specify: * If you wish to view multiple cases, complete the DC 34A Addendum to Application to Inspect Public Records form and I certify that according to SG § 10-616(q) I am not prohibited from inspecting unserved arrest warrants and charging documents due to my status as (circle one): State's Attorney - Peace Officer - Correctional Officer - Attorney authorized by Defendant - Judicial Officer Department of Public Safety and Correctional Service - Federal, State or Local Criminal Justice Agencies Bail Bondsman/Surety Insurer/Surety who executed a bail bond for the individual who is subject to arrest under the arrest warrant. Proof of status may be required Criminal Law Article § 8-606 False entry in public records; altering; defacing; destroying; removing or concealing public record. It is unlawful to make a false entry in, alter, deface, destroy or remove any public record. Any person who violates this section is guilty of a misdemeanor and may be imprisoned up to 3 years or fined up to $1,000, or both. (Signature) Person Requesting Information Print Name: Address: Proof of identity is required. Agency Use Only Date: Phone Number: TPC Granted. Denied. No public record on file. The public record is privileged or confidential. Mail copy to requester at address indicated above. Microfilm Request Fax copy to this court location at fax number: Note: An official criminal history can only be obtained through the Criminal Justice Information System Signature of Clerk Date DC 34 (Rev. 6/2010) American LegalNet, Inc. www.FormsWorkFlow.com