United States District Court Southern District of Texas Victoria Division 312 S. Main St, Room 406 Victoria, TX 77901 Phone: 361-788-5000 Fax: 361-788-5045 Copy Request Form If you've already received a cost estimate from the Clerk's Office, please forward this completed form with payment to the address listed above. Be sure to include a self-addressed stamped envelope for the items to be returned to you. Otherwise, please send your request via mail or fax to the Clerk's Office. A Deputy Clerk will contact you with a cost estimate. Your payment should be made in the form of a check or money order. We do not accept credit cards. Date: Firm: Address: Requested by: Case Number: Documents Requested (Please include Docket Entry #, if known): Phone number: Case Name: Do you require Certified copies? (Certified copies cannot be emailed or faxed...Addt'l fees will apply) Name Search Requested: Name: _________________________ Bankruptcy Please send documents via: Civil Mail Criminal E-Mail Yes No (email requests must be 25 pages or less) Fedex Acct. No. American LegalNet, Inc. www.FormsWorkFlow.com