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2. Please note there may be a fee associated with your request. If payment is needed a court clerk will contact you to collect payment before the request can be completed.

4. Requestor Information
6. Name and/or Organization of Requestor*
7. Email Address*
9. Address
11. City
12. State
13. Zip Code
15. Phone Number*
17. Records Requested
19. Defendant's Name*
20. Alias
22. Date of Birth*
    Date of Birth
23. Email
25. Address
27. City
28. State
29. Zip Code
31. Phone
32. Case Number
34. Date of Incident
    Date of Incident
36. Additional Information Relevant to Locating the Requested Records
38. Additional Information and/or Specific Requests
40. Supporting Documents
41. Do You Need the Records Certified?

    1. Yes
    2. No

    Note: Certified Records are an additional $5.

43. Acknowledgement 1*

    I understand that according to C.R.S. 19-1-304, juvenile records release regulations apply to all criminal records.

    1. Yes
45. Acknowledgement 2*

    I understand that according to C.R.S. 24-72-305.5, I am prohibited from using these records for the purpose of soliciting business for pecuniary gain.

    1. Yes
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit

* indicates a required field