Record Inquiry & Search Request Form
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1
2STATE OF SOUTH DAKOTA
DATE RECEIVED _____________________
UNIFIED JUDICIAL SYSTEM
FEE PAID ______________________
RECORD INQUIRY & SEARCH REQUEST FORM
*Effective January 1, 2013*
NOTE: To assist with your request please complete this form. All fees must be paid prior to searches. Searches will be done as
timely as possible to maintain proper service for everyone. E-mail is the preferred method for submission and response. A self-
addressed stamped envelope is requested if results are to be returned by mail. A Request for Waiver of Fees is located on following
page.
Requested by:
__
_____________________________
_________________ Results by E-mail
Mail
Fax
Name/Agency
UJS Charge Acct. # (if issued)
(Fax Fee to Non-Toll Free Fax #=Greater of $1.
per page or $5.
)
00
00
______
__________________________
_____________
__________
_______________________
Address
City
State
Zip Code
_______
___________________________
____________________________
_____________________
Telephone #
Fax # (if available)
E-mail address (if available)
Any criminal search will require a full name and DOB, at a minimum. Records will only be returned that match exact
information provided on this form. Search the following area(s) marked:
CRIMINAL
Record Searches or Inquiries
.
Please select from the following criminal record search types:
Statewide Criminal (criminal court data January 1989 to present) – $20.
00
County Specific Criminal Record Search (criminal court data prior to January 1989) – $20.
00
County specific searches must be requested through county of original court action.
Search (if requesting party certifies that a search is requested in conjunction with a pending
state or federal cause of action (including bankruptcy actions) – $5.
00
Please conduct a record search on the following name
(the above fees apply to each individual name search):
Last Name, First, Middle
DOB
SS#, DL# or Docket #
(required)
(required)
(for verification only)
___________
_____________________________________________________
_________________________________
___________________
(See second page for additional name searches. Attach additional sheet if more space is needed and indicate type of search requested)
Any civil search will require a full name, at a minimum.
A wildcard (*) may be used to broaden a name search.
CIVIL
Record Searches or Inquiries
.
Please select from the following civil record search types:
Statewide Civil (money judgments and all other civil court data Jan., 2006 to present) - $20.
00
Statewide Civil Money Judgment Only Search (Fee of $4.
per name/date range search and $1.
00
00
per copy of each judgment docket card. Includes all pre-04/19/04 active judgments and
post-04/19/04 active and inactive judgments.
County Specific Civil Record Search (civil court data prior to Jan., 2006)-$20.
00
County specific searches must be requested through county of original court action.
Search (if requesting party certifies that a search is requested in conjunction with a pending
state or federal cause of action (including bankruptcy actions) - $5.
00
Probate Inquiry/Search – No Fee
Please conduct a record search on the following name
(the above fees apply to each individual name search):
Last Name, First, Middle or Company Name
DOB
SS#, DL# or Docket #
(required)
(if available)
(for verification only)
____
______________________________________________________
_______________________________
_________________________
(Attach additional sheet if more space is needed and indicate type of search requested)
ALL CRIMINAL
CIVIL
and
Record Searches.
Statewide Criminal (criminal court data January 1989 to present) and Statewide Civil (money
judgments and all other civil court data Jan., 2006 to present) – $20.
00
Please conduct a record search on the following name
(the above fees apply to each individual name search):
Last Name, First, Middle
DOB
SS#, DL# or Docket #
(required)
(required)
(for verification only)
_______________
_______________________________________________
______________________________
_______________________
(See second page for additional name searches. Attach additional sheet if more space is needed and indicate type of search requested)
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