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2. First Name*
3. Last Name*
5. Phone Number*
7. Email Address*
11. Description of requested records
15. How would you like to receive report?*
    -- Select One --Email ReportIn-person Pick Up By Mail
17. Address to mail report*
19. City*
20. State*
21. Zip Code*
23. For Pick up:

    If opting to pick-up the requested records in person, you will be notified at your provided contact information when the records are ready to be picked up at City Hall.

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

    This field is not part of the form submission.

27. Submit

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