Free RU-004 4-09-08.indd - Kentucky

AOC-RU-004 Rev. 4-08 Page 1 of 1 www.courts.ky.gov

ADMINISTRATIVE OFFICE OF THE COURTS RECORDS UNIT 100 MILLCREEK PARK FRANKFORT, KENTUCKY 40601 502-573-1682 or 800-928-6381
[email protected]

The process to obtain the information contained in CourtNet is as follows: Individuals Requesting a record on yourself requires a $10.00 fee (check or money order). Enclose a self addressed stamped envelope for a return reply or e-mail address. Nonprofit/Commercial/Others Requesting a record on individuals requires a $10.00 fee (check or money order) . Your return envelope must be addressed with adequate postage, and the other envelope only needs the address of the person being checked or e-mail address for both. Licensing A request for licensing purposes and on another person requires a $10.00 fee (check or money order) and must include two envelopes. Your return envelope must be addressed with adequate postage, and the other only needs the address of the person being checked or e-mail address for both. Government/EMS Government entities must provide both envelopes mentioned above, a tax exempt number for waiver of fees, contact person, phone number, and mailing address on their request. Multiple inquires can be made on a continuation form or e-mail address for both. 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 INDIVIDUALS INFORMATION CLEARLY. SOCIAL SECURITY NUMBER: NAME: MAIDEN NAME(S) AND/OR ALIAS: DATE OF BIRTH: STREET ADDRESS / P.O. BOX: CITY, STATE, ZIP CODE: E-MAIL ADDRESS:
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.

DLN:

Individual's Signature Tax Exempt Number Company Requestor/Contact Person Address City, State, Zip

Date E-mail address (sent to this e-mail only) Telephone Number
Please denote which purpose applies to this request:

Employment Criminal Investigation Screening Housing Applicants Volunteer/Care over Juvenile Licensing Other (please explain) Yes No

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