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2. Copy Type*

   1. Regular Copy
   2. Certified Copy

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3. Preferred Delivery For Regular Copy

   1. First Class/Regular Mail
   2. E-Mail
5. Case Type

   1. Civil
   2. Criminal (Felony)
   3. Domestic
6. Case Number
   example: 20-12345-AB
8. Date of Document*
   Date of Document
9. Title of Document*
   Example: Consent Judgment of Divorce
11. Date of Document
    Date of Document
12. Title of Document
14. Date of Document
    Date of Document
15. Title of Document
17. Name*
18. Email Address*
20. Address*
22. City*
23. State*
24. Zip Code*
26. Phone Number*
30. Mailing Information
    If different from above
32. Name
33. Email Address
35. Address
37. City
38. State
39. Zip Code
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41. 1. Receive an email copy of this form.
42. Email address

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43. Submit

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