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2. Requestor's Contact Information
4. Date of Request
   Date of Request
6. Agency/Company Name
8. Requestor's Name
10. Contact Phone
11. Email
13. Address
15. City
16. State
17. Zip Code
19. Court Case Information
21. Party's Name
22. Date of Birth (if known)
    Date of Birth (if known)
24. Select File Type

    1. Circuit Civil
    2. County Civil

    1. Criminal
    2. Domestic Violence

    1. Family
    2. Probate

    1. Traffic
    2. Unknown
26. Request Type

    1. Copies only

    1. Certified Copies
28. Cost and Payment methods: We will notify of cost once the request is processed.

    Search fee: $2.00 per year/per name (may apply)

    Copy fee: $1.00 per page

    Certification fee: $2.00 per document

    Payment Methods: Cash, Cashier's Check, Personal Check, Money Order, Credit Card, Apply Pay, and Google Pay. (A 3/5% processing fee will be added to payments made by credit cards.)

30. Case Numbers / Date of Document
31. Document Types

    (Examples: Disposition, Judgment, Sentence, Order of Probation, Docket Sheet, Information Sheet, Arrest Report, Complaints, Dissolution of Marriage, and Wills.)

33. Receive Records

    1. In Person

    1. Email

    1. US Mail (Actual postage costs will apply.)
35. Certified Birth and Death Certificates
    • Florida Department of Health Bureau of Vital Statistics 904-359-6900 or VitalStats@FLHealth.gov
    • Martin County Department of Health 772-221-4000 or https://martin.floridahealth.gov/
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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

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