Public Records Request Form

Complete and submit this form to make a public records request. All fields must be completed with accurate information for your request to be processed. Payment of fees may be required before your request is fulfilled.

I am willing to pay the following in processing fees without prior notice by the agency.

Processing Fee

Requestor’s Contact Information:

Name

Phone Number

Email Address

Address

Street Address, City, State, ZIP

Date of Request

Records requested (must be as specific as possible, requests that are overly broad may qualify as time-intensive requests and will take longer to respond to):

Records Requested

Public Records Request Form

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