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HENNEPIN COUNTY DISTRICT COURT
Request Date
Court Document Copy Request
Part A:
Requesting Party
Name
Phone
(required)
Address
Email
(required for certified copy requests)
City, State, Zip
Fax
Part B:
Case Information
Select Case Type
Court File Number
(if known)
Civil
Housing
Probate
Criminal
Mental Health
Case Date Range:
To get copies for other case types, visit our online
Records
Center.
From:
To:
Party Name(s)
Plaintiff / Petitioner
Defendant / Respondent / Judgment Debtor
Defendant’s Date of Birth
*
* In Criminal cases, you must include the Defendant’s date of birth or case number(s).
Part C:
Document(s) & Type of Copy
Check the box below for the document you want. If you do not know the document title or it is not listed here, please describe
it in “Other” below. Attach more pages as needed.
# of Copies:
Type (plain or certified):
Judgment
Petition
Sale Package
(Will/Order/Letter (3 docs. - certified only)
Name Change Order
Plea Petition
Summons & Complaint
Order for
Other/Comments:
Part D:
Fees & Delivery Options
Copy Fees
Delivery Options
U.S. Mail
Fax (plain copy only)*
$10 per document – plain copy
Pick Up
Email (plain copy only)*
$16 per document – certified copy
Other (pre-paid FedEx, UPS, etc.)
*Delivery option not allowed for confidential documents.
Other:
Total Fees:
or
Requesting party has a current IFP/Fee Waiver Order on file.
Make check or money order payable to “District Court Administrator.” Payment is required before request will be processed.
Send completed Request Form and payment to:
District Court Records Center
Hennepin County Govt. Center
Questions? Call (612)348-3170
th
300 S. 6
Street, #B100
Minneapolis, MN 55487-0332
Office Use Only
Received on
Delivered on
Incomplete Request
________________
_______________
Amount Paid
IFP or Fee Waiver (statute/policy)
Pre-approved Media Account
$______________
Name_______________
Other (e.g., expedited request, etc.)
If request is denied or records are unavailable, explain here or attach additional pages as needed.
Rev. 10.3.13