Right to Know Request Form

Right to Know Request Form

Name of Requestor (First and Last Name): 

Street Address:

City: 

State: 

Zip:

County:

Telephone (Optional):

Email Address:

Retype Email Address:

 

Records Requested (Please provide as much specific detail as possible):

 

 Check if you want copies?

 Check if you want certified copies of records on site?

 Check if you want to inspect the records?



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