Request for Transcript or Copy, AOPC Request for Transcript or Copy County Pursuant to Pa.R.J.A. 4007(A), this form must be completed by any person requesting a transcript for any court proceeding. Additional requirements may be found in the local rules of court for each judicial district. Local rules may be found by following the appropriate link at: http://www.pacourts.us/courts/courts-of-common-pleas/ If the cost of the transcript presents an economic hardship, there are reduced rates available to those who qualify. See Pa.R.J.A. 4007(E). Copies of this request must be served in accordance with Pa.R.J.A. 4007(B). A deposit determined by local rule may be required. I. Case Information Case Caption : Docket Number: Presiding Judge : Date(s) of Proceeding : Court Reporter Name (if available) : Case Type (check the appropriate box): Yes No Is the Transcript Associated with an Appeal? Yes No Children's Fast Track: Yes No II.Requestor Information Name of Requestor/ Attorney ID Number (if applicable) : I am: Counsel for Unrepresented Not a party to this action Agency/Firm: Court Represented: Yes No Street Address: City: State: Zip: Email: Phone: Fax: Does this request qualify for a reduced rate pursuant to Pa.R.J.A. 4007(E)? Yes No If Yes, please provide proof of authorization for a reduced rate or an affidavit required by Pa.R.J.A. 4008(B)(4) requesting a waiver of all or a portion of the costs. III.Transcript Items Requested American LegalNet, Inc. www.FormsWorkFlow.com Request for Transcript or Copy, AOPC IV.Transcript Delivery and Cost For the original transcript request, please select from the following: Delivery Time: Ordinary Expedited Daily Same Day Original Transcript: +$2.50 + $3.50 + $4.50 +$6.50 (cost per page) Copy for Requestor: Yes No +$0.50 +$0.75 +$1.00 +$1.25 (cost per page) Note: Expedited, Daily, and Same Day Requests are only available where provided by the judicial district or court reporter. Costs payable by requestor shall not exceed the rates prescribed in Pa.R.J.A. 4008(A)(1) and (D)(1). Requesting Governmental Agency Rate (if applicable): Yes No Manner of Delivery: Electronic (PDF) Format Hard copy (add $0.25 per page to page rates) Other (if off ered, extra charges may apply): Complex Litigation Real Time Feed Special Requests (if offered): Minuscript/Condensed ASCII Include Word Index Other If Other, please specify: Are you requesting a photocopy of an existing transcript? Yes No (For photocopy rat es, please see Pa.R.J.A 4008(D)) Requestor222s Signature: Date: Note: The first requestor of a transcript is obligated to pay for the original transcript, which is filed with the court, plus the copy rate if the requestor desires a personal copy (subject to any cost sharing with additional parties). American LegalNet, Inc. www.FormsWorkFlow.com Request for Transcript or Copy, AOPC For Court Use Only Date of Request: Docket Number: Case Caption: Name of Requestor: Email: Phone: Fax: Are the costs waived or reduced? Yes No Date Deposit Received: Deposit Check/M.O. Number: Date Transcript Assigned: Transcript to be Prepared By: Transcript Due Date: Date Transcript Completed: Date Balance Received: Balance Check/M.O. Number: Date Transcript Sent to Requesting Parties: Ordinary, County Paid $ X pages =$ Ordinary, Private Paid $ X pages =$ Expedited $ X pages =$ Daily $ X pages =$ Same Day $ X pages =$ +Hard Copy $0.25 X pages =$ +Requestor Copy $ X pages =$ +Additional Charges $ X pages =$ Is the cost of the transcript being shared between parties? Yes No Photocopy of Existing Transcript: Yes No Notes: Estimated Cost $ Less Deposit -$ Balance Due $ Adjusted Cost (+/-) =$ Final Page Total Final Balance $ American LegalNet, Inc. www.FormsWorkFlow.com