Form Center

2. First Name
3. Last Name
5. Business Name
7. Phone Number
9. Email Address*
11. Address
13. City
14. State
15. Zip Code
17. Records Requested *
    Use as much specificity as possible including date ranges, subject, project, department, and so on.
19. Cost
    Copies are 5 cents a page for requests over 20 pages. Copies on a flash drive are the actual cost of the flash drive. No charge for email or inspection on premises. Flash drives may need to be used for large documents that will not email due to size. Requests for Berea Municipal Court - per the Court's Cost Schedule signed by the Judge, there is a 10 cent per page copy fee with a $1.00 minimum charge. If records requested are in offsite storage, there is a $25.00 retrieval fee to be paid prior to the Court requesting the documents from offsite.
20. Preferred Method of Inspection*

    Please choose one method.

    1. Inspect in the office when ready
    2. Records copied and I will pick up
    3. Records copied and mailed to me
    4. Records copied and emailed to me
22. Date and Time Submitted*
    Date and Time Submitted

    Date and Time Submitted
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field