County
Pursuant to Pa.R.J.A. 4007(A), this form must be completed by any person requesting a transcript for any court proceeding. Additional requirements may be found in the local rules of court for each judicial district. Local rules may be found by following the appropriate link at: http://www.pacourts.us/courts/courts-of-common-pleas/ If the cost of the transcript presents an economic hardship, there are reduced rates available to those who qualify. See Pa.R.J.A. 4007 (E). Copies of this request must be served in accordance with Pa.R.J.A. 4007(B). A deposit determined by local rule may be required. (Ver.: 4/2026)
| I. Case Information | |||||
| Case Caption: | Docket Number: | ||||
| Presiding Judge: | Courtroom: | ||||
| Date(s) of Proceeding: | Is this transcript request associated with a matter already under appeal? ☐ Yes; Appellate Docket # ________ ☐ No | ||||
|---|---|---|---|---|---|
| Court Reporter Name (if known): | Children's Fast Track? Yes No | ||||
| Case Type: (check the appropriate box): ☐ Criminal ☐ Civil ☐ Family ☐ Orphans' Court ☐ Juvenile | |||||
| Type of Proceeding: ☐ Suppression ☐ Argument ☐ Trial ☐ Plea ☐ Sentence ☐ PCRA ☐ Other: | |||||
| II. Requestor Information | |||||
| Name of requestor/Attorney ID Number (if applicable): | |||||
| Street Address: | City: | State: | Zip: | ||
| Email: | Phone: | Fax: | |||
| I am: ☐ Self-Represented ☐ Not a party to this action ☐ Counsel for: ☐ Check if Court Appointed/Conflict Counsel Agency/Firm: | |||||
| Does this request qualify for a reduced rate pursuant to Pa.R.J.A. 4007(E)? Yes No If Yes, please provide proof of authorization for a reduced rate or an affidavit required by Pa.R.J.A. 4008(B)(4) requesting waiver of all or a portion of the costs. | |||||
| III. Transcript Items Requested | |||||
| ☐ Entire proceeding ☐ Jury Voir Dire ☐ Opening statements ☐ Closing arguments ☐ Jury Instructions ☐ Testimony (specify each witness): | |||||
| Pre/Post trial hearing (specify): | |||||
| ☐ Other (specify): | |||||
| IV. Transcript Delivery and Cost | |||||
| For Original transcript requests*, please select from the following [NOTE: Expedited, Daily and Same Day Requests are only available where provided by the judicial district. Costs payable by requestor shall not exceed the rates prescribed in Pa.R.J.A. 4008(A)(1) and (D)(1)]: | |||||
| Delivery Time: | ☐ Ordinary | ☐ Expedited | ☐ Daily | ☐ Same Day | |
| Original transcript production cost per page | 2.50 per page | 3.50 per page | 4.50 per page | 6.50 per page | |
| Copy for requestor? Yes No Add: | 0.50 per page | 0.75 per page | 1.00 per page | 1.25 per page | |
| Manner of Delivery of Transcript: ☐ Electronic (PDF) format ☐ Hard copy (add 0.25 per page to copy rates) | |||||
| Requesting Commonwealth/sub-division Governmental Agency Rate (if applicable): Yes No | |||||
| Other (if offered, extra charges may apply): ☐ Complex Litigation ☐ Real Time Feed | |||||
| Special requests (if offered): ☐ Minuscript/Condensed ☐ ASCII ☐ Word index ☐ Other: | |||||
| Are you requesting a copy of an existing transcript? ☐ Yes (If yes, 0.75 per page for paper; 0.50 per page PDF) ☐ No | |||||
Requestor's Signature
Date