Request for Copy of Criminal Records c/o Reno Justice Court Criminal Division P.O. Box 11130 Reno, Nevada 89520-0027 I, corporation or business) search the criminal records for the following-named individual. , Title: of the (company, do hereby request that the Reno Justice Court CASE NUMBER _______________ (REQUEST WILL NOT BE PROCESSED WITHOUT CASE #) SUBJECT'S NAME: _____________________________________________________________ Last Name First Name Middle Name ALSO KNOWN AS: DATE OF BIRTH: ADDRESS (if known): I understand the cost of a photocopy of any record shall cost $.50 per page for the record to be photocopied and an additional $3.00 per page if the photocopies are to be certified. I further understand that this record search was based on "name only" and the Reno Justice Court does not guarantee that any record found concerns the individual in whom the party requesting the information is interested. I further agree to release from liability and promise to hold harmless, under any and all causes of legal action, the Reno Justice Court and any of its judges and/or employees who conduct my record search for any statement(s), omission(s) or infringement(s) upon any legal rights that may be involved in conducting this search. A reproduction of this Request for Research of Criminal Records for all intents and purposes shall be considered valid as the original. According to the information received from your Court, the court docket is _____ pages and I wish to order _____ photocopy and/or _____ certified copy of same. I have enclosed a _____ cashier's check or _____ money order in the sum of $__________ to cover the cost and a stamped self-addressed envelope. DATED this day of , 20 . (SIGNATURE) (COMPANY and TITLE) (ADDRESS) (PHONE NUMBER) Last Updated: 20140401 American LegalNet, Inc. www.FormsWorkFlow.com