Open Records Request Submission Form

Date *

Recipient of Request (Recipient will receive form results by email. If you would like to receive an emailed duplicate copy, you may provide your email address below.) *

Requestor Name

First

Last

Requestor Address (requestor may provide a mailing address, an e-mail address, or both)

Address Line 1

City

State

Zip Code

Email Address (requestor may provide a mailing address, an e-mail address, or both)

Information Request: Be as specific as possible. Failure to provide specific info will result in the delay of fulfilling your request. Please provide all the information you have concerning your request. Embedded web links are not allowed and will not be opened due to security risks. *

0 of 750 max words.

If you would like to be emailed a duplicate copy of this request, please provide your email address. *

Will you accept a public redacted version of the report?

Yes
No

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Open Records Request Submission Form