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Request for Records

  1. Please describe the record(s) you are requesting.

  2. Purpose of Request*

    Choose one that describes your intent with the requested records.

  3. Identify the number of copies you need.

  4. 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.

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