Right to Know Request Form

All information is required. We will contact you when your records are available.

Date Requested:

Name of Requestor:

Street Address:

City, State:

Zip Code:



Email Address:

Records Requested:

*Provide as much specific detail as possible

Do you want copies?

Yes No

Do you want to inspect the records?

Yes No

Do you want certified copies?

Yes No
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