Public Records Request

Your Name:*

First NameLast Name

Company or Agency:

Email Address:*

example@example.com

Mailing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number:*

Please enter a valid phone number.Format: 000-000-0000.

Paper CopiesElectronic CopiesInspection (In person)

I will pick upEmail (if format allows)Mail (requester will pay for postage)

Documents Requested:*

Be specific and include as much detail as possible regarding the records requested. Include dates, names, locations, type of records requested, key words and terms, and any other pertinent information to identify the specific record being requested that will help us locate the records for you. Failure to provide sufficient information may cause delay.

Certification and Acknowledgment

By pressing submit, I understand there is a charge for copies of public records. I understand I will receive a written estimate for the production of the records indicated above. If there is an estimated cost, I will be required to pay in full prior to inspection of the reproduction. Materials will be held for 20 days. By checking this box and selecting submit, I am authorizing my signature in agreement.

Yes

Please verify that you are human:*

Sender Name: