Case Record Request Form

Requester Name*
First Middle Last
Requester Address*
Street Address City State ZIP Code
Requester Phone*
Requester Email
Please insert as much information as possible. Failure to include as much identifying information will delay our ability to complete requests.
Case Number
Date of Birth*
MM slash DD slash YYYY
Defendant's Name*
First Middle Last
Defendant's Address
Street Address City State ZIP Code
Documents Requested
- Complaint/Citation
- Conviction Documents (i.e. Judgment and Sentence, Plea Form)
- Docket
Other documents
Please be specific
Do you need the document you are requesting to be certified?*
Please be advised that preparing a certified copy of an instrument on file or of record in the clerk’s office is $6.00. **Cash, Money Order, or Cashier’s check ONLY accepted**
- Yes
- No
Request a copy of a recording of a court proceeding:

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 Player https://fortherecord.com/our-solutions/ftr-desktop-app/. Cost is $5.00 per CD.
Date of Court Proceeding
MM slash DD slash YYYY
Time of Court Proceeding

: Hours

Minutes

AM/PM
Case Number
Signature
NOTICE

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.

City of Yakima