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Freedom of Information Request
Date
*
field type date
Date will be captured on form submission
Requestor First Name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Requestor Last Name
*
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Agency/Company Name
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Address
field type single line
Address of Requestor
Input blocked. Maximum character limit of 4000 characters reached.
City, State, Zip
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Phone
field type single line
Input blocked. Maximum character limit of 4000 characters reached.
Email
*
field type email
Police Records?
*
field type radio button
Is this request for Police Records?
Police Records?
Yes
No
Request
field type multi line
Description of requested record(s) sought. Please be as specific as possible. Include as much information as possible to assist with the retrieval of documents.
File Upload
field type file upload
If needed, upload supporting or additional documents for your request here.
Drop files here
You have reached the maximum file limit: .
Request Method
*
field type checkbox
Request Method
Copies requested
Inspect documents in person
Delivery
*
field type radio button
How would you like to receive your documents?
Delivery
Email
Mail
Pick up in person
Commercial Purpose
*
field type radio button
Is this request for commercial purposes?
Commercial Purpose
No
Yes
Signature of Requestor
*
field type signature
Spam capture please leave empty
Session Expiring