Request for Public Records

Please fill out the form below or download and print a copy (pdf) to submit to our office.

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  • If you are requesting to inspect records at the agency’s location, indicate your preferred date/time for an appointment.
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    * Please allow a minimum of five [5] business days from the date of request to ensure adequate time for the agency to provide the records requested.
  • I certify that the information obtained through this request for public records will not be used for commercial purposes. I also understand that I will be charged a fee of 15¢ per page for copies or scanned images provided by PLIA for requests totaling 100 or more pages/images ($15 minimum). Additional amounts may be charged for costs of mailing and/or other materials.

    * There will be no charge for requests of less than 100 pages hard copies or 100 scanned images.