Aoc Ru 004 Form PDF Details

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QuestionAnswer
Form NameAoc Ru 004 Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesaoc ru, kentucky records unit, form kycourtsnet search, form kycourtsnet form

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AOC-RU-004 Rev. 7-18 Page 1 of 1 www.courts.ky.gov

ADMINISTRATIVE OFFICE OF THE COURTS

RECORDS UNIT

1001 VANDALAY DRIVE

FRANKFORT, KENTUCKY 40601 502-573-1682 or 800-928-6381

records@kycourts.net

The process to obtain the information contained in CourtNet is as follows:

Individuals

Requesting a record on yourself requires a $25.00 fee (check or money order). If you do not receive a response in 30 days contact us at the number listed above.

Nonproit/Commercial/Others

Requesting a record on individuals requires a $25.00 fee (check or money order).

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 (502) 573-1682 or (800) 928-6381.

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 falsiication 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.

___________________________________________________

___________________________________________________

Individual's Signature

Date

___________________________________________________

___________________________________________________

Company

E-mail address

___________________________________________________

___________________________________________________

Requestor/Contact Person

Telephone Number

___________________________________________________

Please denote which purpose applies to this request:

Address

Employment

 

___________________________________________________

Criminal Investigation

City, State, Zip

Screening Housing Applicants

 

 

Volunteer/Care over Juvenile

 

Licensing

 

Other (please explain) _____________________________

 

__________________________________________________