Board of Law Examiners Appointed by the Supreme Court of Texas REQUEST FOR COPY OF PREVIOUSLY FILED APPLICATION The Board of Law Examiners routinely archives the files of persons who have passed the Texas Bar Examination (TBE) and become members of the State Bar of Texas until five (5) years after the licensing date. The Board also retains the files of persons who were not successful on the TBE as well as other applicant types until five (5) years after the date of the last activity. Upon receipt, we will review your request and take the steps necessary to respond in the most expeditious manner possible. Be advised that it takes two (2) to four (4) business days for files to be delivered to us from the archival storage facility. Send this completed form to: Texas Board of Law Examiners, P. O. Box 13486, Austin, Texas 78711-3486. You may also send it by facsimile to: 512-463-5300. 1. APPLICANT IDENTIFYING INFORMATION (Print all information.) NAME(including any aliases): _______________________________________________________________________ SOCIAL SECURITY NUMBER: _______________________________ DATE OF BIRTH: ________________________ LAST TBE APPLIED FOR/TAKEN: ___________________________ DATE LICENSED IN TX: ___________________ MAILING ADDRESS: _______________________________________________________________________________ CITY/STATE/ZIP: ________________________________________ MATERIAL REQUESTING: _____ Copy of Declaration DAYTIME TELEPHONE: ____________________ _____ Copy of Application to take the Texas Bar Exam (check all that apply) _____ Copy of Application to be admitted without exam _____ Copy of contents of entire file (Processing fee(s) required for this service; you will be notified in writing of the amount due before file is copied.) 2. RECIPIENT INFORMATION ATTENTION: _______________________________________________________________________________ ENTITY NAME: _______________________________________________________________________________ MAILING ADDRESS: ________________________________________________________________________________ CITY, STATE, ZIP: _______________________________________________________________________________ TELEPHONE: _______________________________________________________________________________ Your signature (required) below authorizes the Board to release the requested information to the person(s) named above. We will provide a certified copy of the material initially submitted by you unless otherwise indicated on this form. We will provide a certified statement if we determine that your file has been purged pursuant to our retention procedures. ____________________________________________ Signature MAILING ADDRESS Post Office Box 13486 Austin, Texas 78711-3486 copy request.pdf (3/2007) TELEPHONE: 512-463-1621 * FACSIMILE: 512-463-5300 __________________________ Date * WEBSITE: www.ble.state.tx.us STREET ADDRESS 205 West 14th Street, 5th Floor Austin, Texas 78701 American LegalNet, Inc. www.FormsWorkflow.com