CANB — Copy Request Form

Source: https://www.canb.uscourts.gov/sites/default/files/forms/Copy-Request-Rev.11-17-25.pdf

UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA

COPY REQUEST FORM PLEASE PRINT LEGIBLY

Requesting Party Name: Date:

Address:

Telephone Number:

Case Number: Open Closed

Case Name:

Documents to be Copied:

Number of Copies

Document Document Title Public Terminal Only Number of Copies Certification Exemplification Number ($0.10 per page) ($0.50 per page) ($12.00) ($24.00)

Total Copies/Certification/Exemplification: 0 0 0 0

Records to be Copied: Case Docket

Claims Register

All copy request fees must be paid in advance. Personal Checks and Cash ARE NOT accepted.

Quantity Amount

Number of Pages Copied - Public Terminal ($0.10 per page) 0 $ 0.00 Number of Pages to be Copied ($0.50 per page) 0 $ 0.00 Number of Documents to be Certified ($12.00 each) 0 $ 0.00 Number of Documents to be Exemplified ($24.00 each) 0 $ 0.00 Total Amount: $ 0.00

Paper copies to be returned by U.S. Mail For returns by mail, please include a self-addressed
envelope with sufficient postage included.
Paper copies to be picked up at the Clerk's Office
11/17/2025 NDC Copy Request