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Misc. Court Fees

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UA/Records/Traffic School/Other Fees

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Name*

Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Please Do Not Complete The Following Field

Email*

Confirm Email*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Case Number:
(for Court Records enter last name.)*

Payment for: (ie: UA/Records Request/Traffic School)

Payment for:*

Payment Amount*