I am the attorney of record for*
a party in the above-referenced cause number.
State Disbursement Record*
Office of the Attorney General FINA Record*
Terms of Acceptance and Signature
I declare all information provided in this form is true and correct. I am aware that should there be any falsification of information my request may be rejected.
Attorney of Record Electronic Signature*
that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms