Request to View Confidential Case File

Date of Request:

Affiant (requester) First name:

Affiant Last name:

Address:

City:

Zip Code:

Phone:

Email:

Case Style: Petitioner

VS Respondent

in Re:

Case Number(s):

Case Number:

Affiant Name:

, hereby affirms that I have a direct interest in the above-styled case.

DO NOT FILL OUT ANYTHING BELOW THIS LINE

ORDER

IT IS HEREBY ORDERED that: __________________________________

has permission to view the above-styled case, and may obtain photocopies of the above-styled case file.

_______________________________________________

Judge ________________________________________Jefferson Circuit Court

Family Court Division _______ Date: _______________________