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Public Records Request Form

2. First Name
3. Last Name
5. Company (If Applicable)
7. Address1
9. City
10. State
11. Zip
13. Home Phone
14. Cell Phone
15. Email
17. Fax
18. Preferred Method of Contact
    -- Select One --Home PhoneCell PhoneFaxIn personEmail
20. Total Number of Copies Requested
22. Record Description*
    For each record, describe the type, date subject, title, etc. Please be as specific as possible.
24. Copying Fees
    $0.50 for the first page, $0.15 for each additional page. Research charge when applicable.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print | Go Back