Public Information And Records Request
What type of request are you submitting?

Customer Information

Public Record

Public Record Request Options

If you wish to purchase an audiotape or compact disc of a public session of a Board meeting, the cost is $10.00 per audiotape or compact disc. Please write out the dates and description of what is requested.

Public Record or License/Certificate Verification Option

Would like this verification to be sent via email or regular mail?

Licensee List

Commercial Use

Is this request going to be used for commercial use?

Please fill out this Online Request for Public Records, download a copy, and then attach it to this form.  

Step 1:  Fill out the Online Request for Public Records - the form will open in a new window.

Step 2:  Complete the form and electronicaly sign the form.

Step 3:  Check your email as you will receive a copy of the form.  Down load the .pdf to your computer.

Step 4: Attach the copy to this form in the field below.

Please attach any additional information that would help us process your request.
Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
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