Form Center

2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Fax Number
14. Email Address*
16. Delivery Preference:*

    1. E-Mail

    1. US Mail

    1. Pick-Up in Person
20. Documents Requested: *
22. Please note: Duplication, search and mailing fees will be charged. If the total is $200 or greater you will be notified and given an opportunity to narrow your request. Each request carries a $5 minimum research charge.

    
    

    A public body may make reasonable charges not to exceed its actual cost incurred in accessing, duplicating, supplying, or searching for the requested records. No public body shall impose any extraneous, intermediary, or surplus fees or expenses to recoup the general costs associated with creating or maintaining records or transacting the general business of the public body. Any duplicating fee charged by a public body shall not exceed the actual cost of duplication. All charges for the supplying of requested records shall be estimated in advance at the request of the citizen as set forth in subsection F of § 2.2-3704 of the Code of Virginia.

    
    

Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field