Chesapeake Circuit Court Document Request Form

Document Request Form

City of Chesapeake Circuit Court Clerk
First & Last Name*

First NameLast Name
Business Name (If Applicable)
Government Agency (If Applicable)
Address*

Street Address

Street Address Line 2

CityState

Zip Code
E-mail*
example@example.com
Phone Number*
Format: 000-000-0000.
Fees are charged for any document going out of the Clerk's Office as follows: (Fees are waived for an approved government agency)
- Research and Retrieval Fee: $7.50
- If the document is to be certified - $2.00
- Copy Fee - $0.50/page
- To send by postal mail - $5.00
- Credit/Debit card convenience fee - 2%
I need this document certifiedPlease send by Mail
Type of Document*

Divorce
Year of Divorce
Spouse 1: Full Name including Maiden Name

First NameLast NameMaiden name
Spouse 2: Full Name including Maiden Name

First NameLast NameMaiden name
Case Number if Known

Name Change
Year of Name Change
Former Full Name

First NameMiddle NameLast Name
Current Full Name

First NameMiddle NameLast Name

Should be Empty: