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Case Record Request Form

  1. Documents Requested:

  2. Do you need the document you are requesting to be certified?

    Please be advised that there is a cost of $5.00 for the first page and $1.00 for each additional page.

  3. Compact Disk (CD) FTR Gold format can only be played on a computer with at least Windows XP operating system (or newer) and the FTR Play er ( http://www.fortherecord.com/products/player/ ). Cost is $20.00 per CD.

  4. You will be notified when your records are ready. If there is a cost associated with your request, you must remit payment within 96 hours (excluding weekends and holidays) of the notification that your records are ready.

  5. Leave This Blank:

  6. This field is not part of the form submission.