MADERA COUNTY SUPERIOR COURT COUNTY OF MADERA STATE OF CALIFORNIA

Hon. Ernest J. LiCalsi, Presiding Judge Hon. Joseph A. Sioldani, Asst. Presiding Judge Bonnie L. Thomas, Court Executive Officer/Jury Commissioner Erin Kinney, Juvenile Division Supervisor

REQUEST FOR RECORDS SEARCH

FEES: A $15.00 fee for the search is required at the time your request is submitted. A $.50 fee will be charged for each copy requested. A $25.00 fee will be charged for each certified copy requested.

PURPOSE OF REQUEST: ______

RECORDS TO BE SEARCHED:

Family Juvenile Education Code Adoptions

Please indicate the year(s) you wish searched: ______

Case # ______Date of Violation ______

Name(s) ______

Date of Birth: ______

Court Name/Number:______

Violation(s): ______

Other Information:______

NOTE: 1) If you provide the case number(s), your request may be processed at the time of submission. 2) If you do not provide the case number(s), your request will take a minimum of two to three (2 to 3) weeks to process. You may contact this office after one week regarding the results of the record(s) search.

DATE: ______SIGNATURE

______Requestor’s Name Address Phone Number 200 South “G” Street Madera, CA 93637 (559) 416-5580 Rev. 9/15