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Request For County Records

  1. Charges: A charge for providing access of public records is authorized by state law. These charges are set at a level to compensate the county for the actual costs incurred in honoring your request.
  2. Record Sought
    Please provide as specific a description as possible of the records(s) you desire to inspect. Include record titles and dates, as well as the names of the department(s) which produced or hold the records(s):
  3. The following is to be completed by the records custodian and is for office use only.
  4. Date
  5. Time (include a.m. / p.m.)
  6. Date
  7. Time (include a.m. / p.m.)
  8. Hours and minutes
  9. Records custodian
  10. You copy of this form is your receipt.
  11. Leave This Blank:

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