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Request for Records

  1. Contact Information:
  2. Please Indicate Your Preferred Delivery Method for Copies*
  3. Include relevant information such as types of documents; names; addresses; date ranges of records; report numbers or other record identifiers; etc.  Please do not include any information that is not relevant to the records requested.  You may also attach a letter or a file with additional information if necessary.  Providing detailed information will help with the research and help keep costs at a minimum.

  4. (NOTE: If the estimated fees exceed $20, a credit card number or cash deposit will be requested)

  5. By checking acknowledged below I approve the above request and the fees as authorized.*
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  7. This field is not part of the form submission.