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

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Street Address 2

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Description of Records Requested (required)

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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)

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