TITLE 2: GOVERNMENTAL ORGANIZATION
SUBTITLE E: MISCELLANEOUS STATE AGENCIES
CHAPTER XL: OFFICE OF PUBLIC COUNSEL
PART 2701 FREEDOM OF INFORMATION ACT
SECTION 2701.APPENDIX A OFFICE OF PUBLIC COUNSEL REQUEST FOR PUBLIC RECORDS



Section 2701.APPENDIX A   Office of Public Counsel Request for Public Records

 

 

Date of request:

 

Name:

 

Mailing address:

 

 

 

 

 

City, State, and zip code:

 

Daytime (8am-5:30pm) telephone number:

 

Whom are you representing?

 

 

 

Please state the specific purpose for the request:

 

 

 

 

 

Please identify the information that you would like to review:

 

 

 

 

 

 

Please state how you would like to review this material (circle the appropriate number):

 

1.

I would like to inspect, but not copy, this material.

 

2.

I would like a copy of this material.

 

3.

I would like to inspect and copy this material.

 

If you want a certified copy of any of the documents that are being copied, please identify

which documents you want certified:

 

 

 

 

 

Additional comments:

 

 

 

 

 

Please sign your name

 

Date of signature