FOURTH JUDICIAL DISTRICT COURT
 COURT LOCATION _____________________
REQUEST FOR COPY OF AUDIO RECORD

___________________________________________________

Case No.:__________________________________________

vs.

Hearing/Trial Date(s):________________________________

___________________________________________________

__________________________________________________

Plaintiff(s)/Petitioner(s),

Defendant(s)/Respondent(s).

Judge: _________________________ Courtroom No.: ______

Costs: Compact Discs: $15.00 for up to a half-day hearing. A mailing fee will be applied if you request the CD(s) be mailed to you. 

      eMailed MP3 File: $15.00 for up to a half-day hearing. 

Audio requests may take up to 10 days to complete. 
Payment must be made in advance, and may be set up on the court’s website to pay online.   
If CDs are not picked up within 30 days, any pre-paid amount may be forfeited and the CDs destroyed.

NAME: ___________________________________________

I will pick up the CD(s) at the court.

CD DELIVERY METHOD:  (select one)

ADDRESS:  _________________________________________

Please mail the CD(s) to me at the address
indicated to the left.  (mailing fee applies)

_________________________________________

_________________________________________

FORMAT REQUESTED:  (select one)

DAYTIME PHONE:  (________)__________________________

MP3 FORMAT - AUDIO CD
(up to a half-day hearing per CD; plays on ordinary CD player or computer)

__________________________________ ______________

SIGNATURE                         

DATE

__________________________________________________

MP3 FORMAT - EMAILED 
(up to 25 MB per eMail, please include eMail address to the left)

THE RECORD PLAYER FORMAT 
(up to 20–22 hrs. per CD; plays on computer only with specific software)

If no selection is made, AUDIO CD will be used.

EMAIL ADDRESS

Beginning Time:

Ending Time:

Atty for Plaintiff:

Atty for Defendant:

Date Completed:

Date Mailed:

Date Called:

Final Notice:

FOR COURT USE ONLY

 CtRm#:

TOTAL cost for CDs:

(+) $

TOTAL cost for eMailed File:

(+) $

Mailing fee total:

(+) $

Pre-paid amount total:

(–) $

TOTAL DUE:

 $

Paid in full on:

ACKNOWLEDGMENT OF RECEIPT

I verify that I received the above requested CD(s).

By:

By:

By:

By:

Audio is unavailable for this
hearing/trial.  The proceedings were
transcribed by a Court Reporter.

Signature:

 Date:

**Attorneys must eFile this form in the appropriate case. 
**If unrepresented by counsel, please eMail this form to: recordingrequest4th@utcourts.gov