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Request Form to Examine or Copy Records

  1. Requester and Record Identification*

  2. If the cost of responding to a request is estimated to exceed $10.00, the person requesting the records will be provided with an estimate of costs, which the person will need to agree to pay prior to the copies being made. If the cost of responding to a request exceeds $50.00, the person requesting the records will need to pay the estimated costs prior to the copies being made.

  3. *This information is not required, but will be used to provide a response, or in the event clarification is needed and for billing purposes.

  4. Leave This Blank:

  5. This field is not part of the form submission.