RECORDS REQUEST FORM - Clark County
RECORDS REQUEST FORM
Date of Request: ________________
All fields with an "*" must be completed. Incomplete forms will be returned.
*Name of requestor:
*Address:
*City State Zip: *Email Address:
*Phone Number:
$30 Search Fee may apply to requests with no case number
***Check here if requesting all documents from case
*Case Number
*Documents Requested
*Sub # (If Known)
Costs for copies - RCW 36.18.016(4) & (11)
*Prices:
Paper Copies ($.050 per page) Email Copies ($0.25 per page) Certified Copies ($5.00 first page, $1.00 subsequent pages/ per doc)
? Fee will apply to all Credit Card payments. ? You may receive a cost quote from our staff via email.
*I would like this delivered via: Hold for pick-up (payment due at time of pick-up) Mail copies (payment due in advance) (include envelope or Additional $2.00 charge will be applied) Send to email address above Send to different email address ______________________________ Place copies in pick up file (Law firm/courier)
Requests mailed in using this form should include a cashier's check or money order (no personal checks or EFT payments) in the appropriate amount and an envelope large enough to accommodate the copies.
Mail to: Clark County Clerk's Office OR P.O. Box 5000 Vancouver, WA 98666-5000
Submit
Clear Form
If the submit button is not working in your browser, either open in a different browser or download and email to copyrequests@clark..
Email to: copyrequests@clark.
OFFICE USE ONLY:
Check #: Amount $:
Date: Clerk:
H:\FORMS\CopyRequestForm2021.pdf
12/2/2021
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