Public Record Request Form

Request for Research & Copies

This is a request for records under the Missouri Sunshine Law, Chapter 610, Revised Statutes of Missouri. The request is to be responded to by the end of the third business day (excluding legal holidays and weekends) following the date the request is received by the Custodian of Records. A response constitutes either compliance of the records requested, a reason for delay, or legal explanation as to why the records may not be available as requested. The response may require additional time or charges depending upon information sought within the request. Please complete the form as completely as possible to better assist you with your request.

First Name*

Record(s) Requested by:

Last Name*

Record(s) Requested By:

Address*

City*

State / Province / Region*

Zip Code*

Email Address*

Phone Number*

Fax Number*

Describe the records as specifically as possible. Identify specific time periods if necessary.*

I understand fees may be required for additional research cost, copies, media, or other as needed.

You have authorization to proceed unless fees exceed the amount to follow and I therefore request you contact me.*

I request the fees be waived to serve the public's interest.

Yes

Please state how and why the info will be used in the public's interest:*

Mail

Pick up In-Person

Signature

Name

This field is for validation purposes and should be left unchanged.

Request for Research & Copies

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