Public Records Request Form

Date Submitted *

Month

Day

Year

What type of Public Records are you requesting? (highlight selection) *

Description of Records Sought *

How would you like to receive your response? *

View or inspect in Town Clerk's Office

Mail

Fax

Depending on the form of response you would like to receive, costs will vary based on the Public Records Laws.

Is this for commercial use? *

Yes

Your Email *

Name *

Street Address *

Additional/Mailing Address

City/Town *

State *

Zip Code *

Telephone

Fax Number

Leave this field blank