Public Information Request Form BOD Policy 2.1 ~ Public Records Fees and Cost Recovery.pdf First Name (required) Last Name (required) Organization or Business Name Street Address (required) Street Address 2 State/Province/Region (required) Postal/ZIP Code (required) Country Email (required) Phone (required) Description of Records Requested (required) Choose Delivery Method (required)I want to inspect the records. I want electronic copies of the records. Certification: By submitting this request, I certify that I am the requester named above or an authorized representative thereof. I understand that any fees associated with the fulfillment of this request may be assessed in accordance with Jackson County Fire District 4 Policy and Oregon state law. (required) Yes No There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
