FOIA Request for Public Records

Name*

Phone*

Email*

Mailing Address*

Fax

Firm/Organization

Preferred Method of Contact*

Phone

Describe the public record(s) as specifically as possible*

I am requesting a discount and will provide additional documentation due to

None

Nonprofit (State designation of Mental Health Organization required)

Indigence (Indigence Affidavit required)

Public Interest/Benefit

Additional Information

File Upload