PAM CHILDERS
CLERK OF THE CIRCUIT COURT
ESCAMBIA COUNTY, FLORIDA

(FAX) 850-595-4827
Request Form for Internet Image Removal Pursuant to Section 28.2221, F.S.
(Images placed prior to CS/HB 1679)
  Date:
  Requestors Name:
  Phone Number
  Email Address

This request for removal of images from the Clerk of the Circuit Courtís Official Records Publicly Available Internet website, applies only to documents as outlined in CS/HB 1679, as follows:

Military Discharges
Death Certificates
Court records relating to matters or cases governed by:

  • The Florida Rules of Family Law
  • The Florida Rules of Juvenile Procedure
  •  The Florida Rules of Probate.
For Blocking Official Record Images, provide the following information:
Instrument Number Official Records Book/Page Document Type
Signature: