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ADMINISTRATIVE OFFICE OF THE COURTS RECORDS UNIT 1001 VANDALAY DRIVE FRANKFORT KENTUCKY 40601 502-573-1682 or 800-928-6381 AOC-RU-004 Rev. 11-13 Page 1 of 1 www. courts. ky. gov records kycourts. net The process to obtain the information contained in CourtNet is as follows Individuals Requesting a record on yourself requires a 20. 00 fee check or money order. If you do not receive a response in 30 days contact us at the number listed above. Nonprofit/Commercial/Others Criminal Justice Agencies Fees are paid to the order of the KENTUCKY STATE TREASURER by check or money order ONLY. FAILURE TO COMPLY WITH THESE PROCEDURES WILL RESULT IN THE REQUEST BEING RETURNED UNPROCESSED. If you suspect information contained on the record is incorrect or have any questions please contact the Records Unit at PLEASE PRINT OR TYPE THE INDIVIDUAL S INFORMATION CLEARLY. SOCIAL SECURITY NUMBER DLN NAME MAIDEN NAME S AND/OR ALIAS DATE OF BIRTH STREET ADDRESS / P. O. BOX CITY STATE ZIP CODE I understand the information supplied by me must be truthful and falsification with an intent to mislead may result in my prosecution under KRS 523. 100. I have provided the basic information necessary to qualify for record processing and exemption of fees - if applicable. ALL INFORMATION BELOW IS REQUIRED. Date Company E-mail address Telephone Number Requestor/Contact Person Address City State Zip Please denote which purpose applies to this request Employment Criminal Investigation Screening Housing Applicants Volunteer/Care over Juvenile Licensing Other please explain. courts. ky. gov records kycourts. net The process to obtain the information contained in CourtNet is as follows Individuals Requesting a record on yourself requires a 20. 00 fee check or money order. If you do not receive a response in 30 days contact us at the number listed above. 00 fee check or money order. If you do not receive a response in 30 days contact us at the number listed above. Nonprofit/Commercial/Others Criminal Justice Agencies Fees are paid to the order of the KENTUCKY STATE TREASURER by check or money order ONLY. Nonprofit/Commercial/Others Criminal Justice Agencies Fees are paid to the order of the KENTUCKY STATE TREASURER by check or money order ONLY. FAILURE TO COMPLY WITH THESE PROCEDURES WILL RESULT IN THE REQUEST BEING RETURNED UNPROCESSED. If you suspect information contained on the record is incorrect or have any questions please contact the Records Unit at PLEASE PRINT OR TYPE THE INDIVIDUAL S INFORMATION CLEARLY. FAILURE TO COMPLY WITH THESE PROCEDURES WILL RESULT IN THE REQUEST BEING RETURNED UNPROCESSED. If you suspect information contained on the record is incorrect or have any questions please contact the Records Unit at PLEASE PRINT OR TYPE THE INDIVIDUAL S INFORMATION CLEARLY. SOCIAL SECURITY NUMBER DLN NAME MAIDEN NAME S AND/OR ALIAS DATE OF BIRTH STREET ADDRESS / P. O. BOX CITY STATE ZIP CODE I understand the information supplied by me must be truthful and falsification with an intent to mislead may result in my prosecution under KRS 523.

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