Form Center

2. Public Records Request Information
   This is a request under the Massachusetts Public Records Law (M.G.L. Chapter 66, Section 10). All public records requests will be responded to within ten (10) days after receipt of request. Responses may indicate further time is necessary, additional information is required, or an estimate of fees required to fulfill the request, as examples. Pursuant to Public Records Law, all exemptions will be redacted from any and all material being released.
4. Date of Request*
   Date of Request
6. Description of Materials Sought*
   Please be as specific as possible when requesting information
8. Number of Copies of Record(s)*
   $0.05 per page, plus search, redact, and/or copy fees
10. Other Additional Information
12. Requestor's Information
14. Name of Requestor*
16. Firm/Company
18. Address*
20. City*
21. State*
22. Zip*
24. Phone Number*
25. Fax Number
27. Email
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit Submit and Print

* indicates a required field