Request For Services

FOR COURT USE ONLY Date: Amount Due: ____________ Number of Pages: ____________ Number Certified: ____________ Number Exemplified: ____________ REQUEST FOR SERVICES U.S. District Court, District of Nevada CONTACT PERSON: FIRM OR AGENCY: ADDRESS: TELEPHONE #: (You will be called when the services have been completed.) CASE NUMBER: (This information is required to complete your request. If you do not have the case number, please check our computerized index to obtain it. Format example: 2:75-CV-09999-LDG-PAL) CASE CAPTION: (List plaintiff(s) and defendant(s); i.e. Joe Smith v. Art Brown, et al.) RETRIEVAL FROM THE FEDERAL RECORDS CENTER The charge for retrieval of records is $64.00 for one box and $39.00 for each additional box to be paid in advance. Please allow 2 weeks for delivery. For electronic retrievals, $10 plus charges assessed by the Federal Records Center or National Archives. RECORDS SEARCH ($31.00 Fee for each name searched.) List information to be searched: NOTE: Fee for copying any record or paper is $.50 per page. COPY OF DOCKET SHEET COPY OF DOCUMENT(S) List the document number(s) requested: CERTIFICATION OF DOCUMENT(S) List the document number(s) requested: ($11.00 Fee for Certification plus copy charges) EXEMPLIFICATION OF DOCUMENT(S) List the document number(s) requested: ($22.00 Fee for Exemplification plus copy charges) (Note: Failure to provide case and document number(s) for any request may result in a $31.00 fee for a record search.) Electronic public access to federal records is available through PACER at www.pacer.gov Our website is www.nvd.uscourts.gov American LegalNet, Inc. www.FormsWorkFlow.com Rev. 12/16