FORT BEND COUNTY CLERK’S OFFICE CIVIL COPY REQUEST DATE:______________________ CAUSE NUMBER: ____________________________________________________________________________________ VS ____________________________________________________________________________________ Name of Person/Company Requesting: Address: Telephone: ______CALL FOR PICKUP ______HOLD FOR PICKUP ______MAIL WHEN READY CALLED CUSTOMER FOR PICKUP ON _________________ Please Check One (1): _____ _____ Non-Certified Copy Certified Copy List of Copies Needed: Number of Pages Copy Of _________ Petition _________ Citation _________ Answer _________ Judgment _________ Other: _________ Other: _________ Other: _________ Other: Escrow Users, Please Check One (1): _______ _______ Do Not Charge to my Account Charge to my Account Number ___________________ *** If you pay by check, the following is required: Printed name, address & phone number on the check Date of birth and driver’s license number of signer. ALL REQUESTS MUST BE SIGNED. Confidential information may be redacted from the document requested. Signature of Person Requesting Made By: _________ Initials Amount Due: $____________ Date:______________, ______ CASH_____________________CHECK #__________________RECEIPT #_________________ CIVIL COPY REQUEST i:\CIVIL\COPYREQ.DOC American LegalNet, Inc. www.FormsWorkflow.com