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2. Request for Public Records
4. Name*
6. Address*
8. City*
9. State*
10. Zip Code*
12. Phone Number*
13. Fax Number
15. Email Address*
17. Records Requested *

    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible.

19. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
21. Signature*
    The County will respond to this request within five (5) working days.
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit Submit and Print

* indicates a required field