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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