How do I submit a Criminal Certificate of Disposition Request?

Pay the $5 fee and choose pickup when notified or request mailing with a self-addressed, stamped envelope. Certified checks or money orders should be payable to the Monroe County Clerks Office.

What case information must I provide?

You must provide at least one case identifier, such as a docket, indictment, CJTN, arrest, complaint, order of protection, certificate, or ticket number.

Can I request a search using only a name and date of birth?

No. The form says the county cannot process this request using only the defendant’s name, or name and date of birth.

Monroe County, NY · Monroe County

No notary required

Criminal Certificate of Disposition Request Form

This form lets defendants, attorneys, agents, and agencies request a criminal Certificate of Disposition from Monroe County.

At a glance

Issued by: City of Monroe County · Monroe County, Monroe County, New York
Notarization: Not required: file this form without a notary.
Official source: monroecounty.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

Use this form to request a criminal Certificate of Disposition from Monroe County. It asks for the requestor’s contact information, the defendant’s information, and at least one case identifier; additional identifiers may help locate the case. The request requires a $5 fee, and the form lets you choose pickup when notified or mailing with a self-addressed, stamped envelope.

Who needs it

Defendants, their attorneys or agents, and agencies use this form to request a criminal Certificate of Disposition from Monroe County.

How to submit it

Pay the required $5 fee; certified checks or money orders should be payable to the Monroe County Clerks Office. Choose pickup when notified or mail with a self-addressed, stamped envelope.

About notarization

This request form itself does not require notarization; an agent must include notarized authorization from the defendant, and the requestor completes the date and information.

How to submit this form

1
Download the Form
Download the Criminal Certificate of Disposition Request Form.
2
Complete the Request
Fill in the requestor and defendant information, and provide at least one case identifier.
3
Gather Required Items
Include the $5 fee. Agents must provide notarized authorization from the defendant; mail requests need a self-addressed, stamped envelope.
4
Choose Pickup or Mailing
Select pickup when notified or request mailing, then submit the request with the required fee and applicable items.

Frequently asked questions

Do I need a notary for a Criminal Certificate of Disposition Request?: No, the request form itself does not require notarization. An agent must include notarized authorization from the defendant.
How do I submit a Criminal Certificate of Disposition Request?: Pay the $5 fee and choose pickup when notified or request mailing with a self-addressed, stamped envelope. Certified checks or money orders should be payable to the Monroe County Clerks Office.
What case information must I provide?: You must provide at least one case identifier, such as a docket, indictment, CJTN, arrest, complaint, order of protection, certificate, or ticket number.
Can I request a search using only a name and date of birth?: No. The form says the county cannot process this request using only the defendant’s name, or name and date of birth.

Need something notarized?

This Criminal Certificate of Disposition Request Form doesn’t need a notary, but if you have another Monroe County form that does, a commissioned online notary can help.