Public Record Request

2. First Name*

3. Last Name*

5. Would you like to review records in person, or would you like your own copy? A fee may apply for hard copy requests depending on the size.*
   -- Select One --Review In PersonReceive Copy (Will Pick Up)Receive Copy - EmailReceive Copy - Traditional MailReceive Copy - Fax

6. Phone Number*

   Please provide a contact number in case we have questions about your request, or to notify you the request has been completed.

8. Address1 (optional)

   If you would like records to be mailed to you, please provide a mailing address.

10. City

11. State

12. Zip

14. Email or Fax Number (optional)

    If you would like to receive records by email or fax, please tell us where to send them.

16. Your Request*

    Please describe the records being requested.

Leave This Blank:


18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

* indicates a required field