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Right To Know Request

Date Requested: *

Month

Day

Year

Name of Requestor: *

Address: *

City: *

State: *

Zip Code: *

Phone Number: *

Please enter a valid ten-digit phone number (e.g. 999-999-9999)

Email: *

Note: an electronic copy of this request will be sent to the above email address as a receipt of the request. You must keep this email in order to file an appeal.

Records Requested: *

Provide as much specific detail as possible so the agency can identify the information.

Do you want copies? *

Do you want to inspect the records? *

Do you want certified copies of records? *

Disclaimer:

Please note that you must keep the emailed version of this request in order to file an appeal.

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Right To Know Request