Open Records Request Form
Date
*
-
Month
-
Day
Year
Please enter the date this form is being submitted.
Name
*
First Name
Last Name
Pursuant to the Georgia Open Records act (O.C.G.A § 50-18-70 et seq.), I am requesting the following records
*
Please enter the information that you are seeking.
Signature of Person Requesting Information
*
Cell Phone Number
*
Please enter a valid cell phone number.
Email Address
*
example@example.com
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please verify that you are human
*
Submit
Should be Empty: