Public Records Request

View Public Request PDF Template

Your Contact Information

Your Name

Subject

Your Email *

Your Home Phone

Your Mobile Phone

Your Street Address

City

State

Zip

Custodian Information

Name of Custodian of Records

Title

Requested Information

Do you identify yourself as a representative of the news media if applicable and state that your request is related to news gathering purposes.

Describe the records or information sought with enough detail for the public agency to respond. Be as specific as your knowledge of the available records will allow. But it is more important to describe the information you are seeking *

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