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2. Request for Hays Municipal Court Documents
   Any form that is not fully completed will not be processed. All requests will be processed within 72 business hours upon receipt of the request. If further information is needed, you will be contacted.
4. Date of Request*
   Date of Request

   Date of Request
5. Full Name at the Time of Incident*
7. Current Address*
   Include City, State and Zip Code
9. Phone Number*
10. Email Address*
12. Date of Birth*
    Date of Birth

    Date of Birth
13. Approximate Date of Charges*
    Approximate Date of Charges

    Approximate Date of Charges
15. What were you charged with?*
17. Reason for the Request*
19. How do you want the document returned to you?*
    *These documents cannot be sent to a third party*
21. Do you need these documents certified?*

    1. Yes
    2. No
23. Electronic Signature*

    1. By checking this box, I certify that all of the information is true and accurate to the best of my knowledge.
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field