Records Request

• Legal Form Number: 34
• Date: 16 January 2018
• Court: U.S. Court of Appeals — Federal Circuit
• Section: United States Court of Appeals for the Federal Circuit

UNITED STATES COURT OF APPEALS FOR THE FEDERAL CIRCUIT

717MADISON PLACE,N.W.

WASHINGTON,D.C.20439

202-275-8000JARRETTB.PERLOW

CLERK OFCOURT

RECORD REQUEST FORM

To the Clerk of Court:

Please conducta search for the following file. If located at the Washington National

Records Center, please notify me at the address or telephone number below when the

file is available for viewing at your office. Iunderstand that there is a charge of $70.00

for retrieval of the first box and $43.00 foreach additional box.

Payment:I alsounderstand that payment must be made through the court’s CM/ECF

system. Instructions for processing paymentare availableon the court’s website,

http://www.cafc.uscourts.gov, under the CM/ECF tab, Reference Materials, “How to Pay

Court Fees Online Using Pay.gov” and “Miscellaneous Fees” section.

Case Number:

Case Caption: v.

(For Clerk’s Office Use Only)

Transfer No:

______________________

Box No:

______________________

Date:

______________________

Ordering Party

Name:

Address:

Address: ______________________________

Phone:______________________________

Email:______________________________

Signature:______________________________

Date:______________________________

Please send your completed form to records@cafc.uscourts.gov.

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