City of Rifle
Rifle Municipal Court
201 East 18th Street
Rifle, CO 81650
Phone: 970-665-6420
Fax: 970-665-6422
TO: COURT CLERK:
Pursuant to the provisions of statue, I hereby make application to the City of Rifle for access to the following court record:
Date of Record: _____________
Name on the Record: _______________________________
Date of Birth: ______________
Reason for Request: _______________________________________________
_________________________________________________________________
___________________________ ______________________
Signature Date
(Records may be obtained from the Rifle Municipal Court Monday through Friday, 8:00 a.m. to 4:00 p.m. Please Fill out the above information in order to obtain the report.)