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2. Disclaimer

   Information submitted on this form will be sent via email. To protect sensitive information, do not request the following information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, medical information, passport numbers, and passwords.

4. Please complete the following form to request public records. Please be as specific as possible about the records you are requesting to assist us in locating the records as quickly as possible. Thank you.
8. First Name:*
10. Last Name:*
12. Mailing Address:
14. City:
16. State:
18. Zip Code:
20. Daytime phone:*
22. Email:*
24. Please describe the records with as much detail as possible to help us find the records you require:*
26. Please select one of the following options.*

    1. Please contact me about my request before processing it.
    2. If my request does not require any fees, please process it without contacting me.
    3. I agree to pay any fees associated with my request when I pick up the records.
    4. If my request requires any payment to process, please contact me first.
28. Please upload any files pertaining to your request here.
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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