Lassen — Research and Copy Request Form

Source: https://www.lassen.courts.ca.gov/system/files/local-forms/lsc-mis-100.pdf

Superior Court of California, County of Lassen 2610 Riverside Drive, Susanville, CA 96130 RESEARCH AND COPY REQUEST FORM INSTRUCTIONS Please complete the information below to request a record search and/or copies of court records. You will be required to pay fees in advance. You must be a party to the case and have valid photo identification or have a court order to obtain copies of confidential cases. Juvenile records are not available by mail. REQUESTOR INFORMATION:

Name: ________________________________________ Agency (if applicable): _______________________________

Mailing Address: _________________________________________________________________________________ (Street/Address) (City) (State) (Zip)

Phone No.: ______________________________ Email Address: ________________________________________

SEARCH COURT RECORDS:
FILL IN THIS SECTION IF YOU DO NOT KNOW THE CASE NUMBER
(Check the applicable case type below and provide as much information as able in the relevant section.)

Name: _________________________ ________________________ ________________________
First Middle Last

Date of Birth (if known): ______ / ______ / ______ Driver’s License # (if known): ______________________ ☐ CRIMINAL Aliases, Maiden Name: _________________________________________________________________

Years, violations, or other info: ___________________________________________________________

Case Type: _______________________________ Date Filed: ________________________________
Limited Civil, Family Law, Small Claims, etc. Provide Estimation or Date Range if Not Known ☐ CIVIL
Plaintiff / Petitioner: ____________________________________________________________________
Full Legal Name at time of filing

☐ Defendant / Respondent: _______________________________________________________________ FAMILY Full Legal Name at time of filing

COPY REQUEST:

(Provide your case name, number, and designate the type of copies you need.)

Case Name: ____________________________________________________________________________________ Criminal Case Example: People of the State of California v. John Doe - Civil/Family Law Example: John Doe v. Jane Smith

Case #: ________________________________________________________________________________________ If known, otherwise fill in Search Court Records section above. - Example: 2023-CR1234567 CERTIFIED NON-CERTIFIED CRIMINAL ☐ ☐ CIVIL & FAMILY Entire File Sentencing Minutes Entire File Latest Support/Custody Order Case History Judgment Judgment / Dissolution Decree/Dissolution of Marriage Other: Case History Minute Order Dated: Other:

Form Adopted for Mandatory Use RESEARCH COPY AND REQUEST Lassen Superior Court LSC-MIS-100 [Rev. July 1, 2023] www.Lassen.Courts.CA.gov

PAYMENT INFORMATION: (Payment is required prior to delivery of documents.)

Cash Check/Money Order # _____________ attached Credit Card I have an active fee waiver on file ☐ ☐ ☐ ☐
DOCUMENT DELIVERY:
(Tell us how you want to receive your documents.)

Pick up at: Hall of Justice – 2610 Riverside Drive, Susanville, CA 96130 ☐
Mail to: _____________________________________________________________________________________ ☐
*Email to: ___________________________________________________________________________________ ☐ *Certified Copies CANNOT be emailed.

FOR COURT USE ONLY Date Received: ________________

Research over 10 minutes ($15.00 per search) $ ☐
Certification Fee ($40.00 per document) Number of documents: ___________ $ ☐
Photocopy, Email, or Fax Fee ($0.50 per page) Number of pages: ___________ $ ☐
Comparison Certification Fee ($1.00 per page + Certification Fee) Number of pages: ___________ $ ☐
Postage & Handling (Metered Rate) $ ☐
Exemplified Copies ($50.00 + Copy Fees) $ ☐
Certified Copy of Dissolution ($15.00 + Copy Fees) $ ☐
TOTAL $
RECORDS SEARCH

ELECTRONIC MICROFICHE (S Drive) PAPER CASE FILES ☐ ☐ ☐

NOTES:

REQUEST COMPLETED BY: ________________________________________________________________________ DATE: ___________________________

Form Adopted for Mandatory Use RESEARCH COPY AND REQUEST Lassen Superior Court LSC-MIS-100 [Rev. July 1, 2023] www.Lassen.Courts.CA.gov