Free REQUEST FOR CONFIDENTIAL OR RESTRICTED RECORD - Nebraska

REQUEST FOR CONFIDENTIAL OR RESTRICTED ACCESS RECORD
Any person requesting the check out of or access to a record of the Supreme Court or Court of Appeals which is either a confidential or restricted access record must sign this form and indicate hereon their relationship to the party or parties of record. Depending on the type of appeal, and your relationship to the parties, this request may require review and authorization by the appellate court prior to the checking out of the record. You will be notified by the Clerk of the court's decision. If such initial request is denied, any release of the requested record shall be upon motion for release of such record which will be submitted to the appropriate appellate court for disposition. ( ( ( ) Transcript ) B/E ) PSR

Case Number: _________________________

Case Name: ________________________________________________________ Person Requesting Record _________________________
(Please Print Name)

_________________________
(Signature)

Agent of Person Requesting Record

_________________________
(Please Print Name)

_________________________
(Signature)

Address

_________________________ _________________________

Telephone Number Requestor's Relationship To Party of Record

_________________________

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