Records Request

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.)