Transcription/AV Request Form

Case Caption
Case Numbers
Judge/Courtroom/Judicial Assistant
It is requested that a copy of the following designated proceedings be prepared:
Date(s) of All Proceedings Requested
Type of Proceeding(s)
Copy for Requestor
- CD-ROM
- PDF TRANSCRIPT
- SECURE FILE TRANSFER
Transcript for Appeal
- TRANSCRIPT TO BE FILED AS RECORD FOR APPEAL
DATE NOTICE OF APPEAL WAS FILED
Date Format: MM slash DD slash YYYY
Requestor's Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Requestor is indigent?*
- Yes
- No
Judge Signature
Date
Date Format: MM slash DD slash YYYY
Email (Mandatory for PDF Delivery)
I am requesting that the above CD-ROM record be prepared. I will be responsible for costs.
Date
Date Format: MM slash DD slash YYYY
Please email the form to the Judicial Assistant’s email indicated above. If you have questions please call the Court at 937-225-6000.
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