Records Request Form
PART A: Requestor Information
NEW JERSEY JUDICIARY
LAST NAME
MUNICIPAL COURT
See instructions on the reverse side.
FIRST NAME
COMPANY
ADDRESS
CITY EMAILZIPSTATE
DAYTIME TELEPHONE (INCLUDE AREA CODE)
US MAILPICK UP
PREFERRED DELIVERY
EXT. ON SITE INSPECT
PART B: Payment Information
SIGNATURE DATE
CASH MONEY ORDERCHECK
SELECT PAYMENT METHOD
COPY FEES
Pages 1 - 10 @ $0.75 each
Pages 11 - 20 @ $0.50 each
Page 21 - + @ $0.25 each
PART C: Information Requested
FOR RECORD REQUESTS OVER $50
TOTAL EST. COST DEPOSIT DATEESTIMATED BALANCEDEPOSIT AMOUNT RECEIVED BY
JUDICIARY USE ONLY
DISPOSITION INFORMATION
UNAVAILABLE DATEDENIED DATEDELIVERED DATE
If request is denied or records are unavailable, explain here:
Identifi cation provided for physical custody of fi le:
REVISED 10/2005, CN: 10595-english
INDIVIDUAL CASE REQUEST
CASE NUMBER
DEFENDANT NAME
DISPOSITION OTHER _______________COPY
RECORDS REQUESTED
YES NOCertifi ed or Exemplifi ed Copies (extra charge)
MULTIPLE CASES REQUEST
WHAT RECORDS ARE YOU SEEKING
YES NOCertifi ed or Exemplifi ed Copies (extra charge)WHEN DO YOU NEED THE INFORMATION
MIDDLE INITIAL
SIDE 1 OF 2
NOTE: This form should not be used to request transcripts of court proceedings.
Ask court staff for information about obtaining transcripts.
1. Complete Parts A (optional), B, and C of this form, and deliver it during regular busi-
ness hours to the appropriate case management offi ce or municipal court. For mail or
fax requests, fi rst contact the appropriate case management offi ce or municipal court.
A directory of case management offi ces and municipal courts is available at:
www.njcourtsonline.com
2. If your request is for physical inspection of a court fi le or document rather than a pho-
tocopy, you will be asked to provide a government issued identifi cation (for example,
a driver’s license). If you do not provide such identifi cation your access to the records
may be delayed until court staff is available to monitor your inspection of the records.
3. The fees for duplication of a court record in printed/paper form are listed on the front of
this form. For superior court records, payment may be made by check, cash, or money
order payable to Treasurer, State of New Jersey. For municipal courts, payment may
be made by check, cash, or money order payable to that particular municipal court.
4. You may be charged a 50% deposit when a request for copies is estimated to exceed
$50. The record custodian will advise you of any deposit requirements.
5. The record custodian will notify you that he or she grants or denies a request for access
to a Judiciary record. In most cases, we can provide access to a record stored on-site
the same day. If the record is not readily available, or is stored off-site, the custodian
will advise you within 3 business days when the record will be made available, and the
estimated cost for providing the record to you.
6. You may be denied immediate access to court records if your request will substantially
disrupt court operations.
7. If the Judiciary is unable to comply with your request for access to a court record, the
custodian will state the reasons on the request form and send you a signed and dated
copy.
8. Information provided on this form may be subject to disclosure under Rules Governing
the Courts of the State of New Jersey, Rule 1:38.
Instructions For Obtaining New Jersey Judiciary Records
SIDE 2 OF 2
