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Electronic Public Records Request

Section 1 - Requestor Information
First Name
Last Name
Email Address
Phone Number
Organization / Company
Street Address
City
State
ZIP Code
Indiana Resident
Section 2 - Request Information
Request Title
Records Requested
Department
Record Category
Date Range From (mm-dd-yyyy)
Date Range To (mm-dd-yyyy)
Related Case Number
Property Parcel Number
Person / Subject Name
Section 3 - Request Options
Request Type
Preferred Delivery Method
Electronic Format
Inspect Records Only
Certified Copies Needed
Section 4 - Request Purpose
Request Submitted For
Purpose of Request
Other Purpose
Section 5 - Fees
Maximum Fee Approved
Request Fee Waiver
Reason for Fee Waiver
Certification
  
Submission Date (mm-dd-yyyy)
Section 6 - Supporting Documents
Attach Document (PDF, JPG, PNG, GIF, TIFF Only)
You may add up to 10 files with a combined size of 100 MB; on submit they are combined into a single PDF.


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