Request for Information This is a request for records under the Missouri Sunshine Law, Chapter 610.010 to 610.303, and Revised Statues of Missouri. I understand that for copies 9 x 14 or smaller, the fee is $0.10 / per page. If requesting documents to be converted to electronic format, I understand I will be charged a fee for clerical staff time and cost incurred. NOTE: Depending on the size and nature of my request for records, I may be charged for research time in accordance with RSMO 610.026.1 and in addition for formats other than paper, I may be charged for the cost of the material used for duplication.REQUESTED BY:Request Date* MM slash DD slash YYYY Name* First Last Address* Street Address City MOAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Phone Number*Please include a valid phone number where you can be reached if our office has additional questions.Email Signature of Requester*I request that you make avaialble to me the following records:*(Describe the records as specifically as possible. Where you are asking for records that cover a particular period, such as last year or a specific month, identify that time period.)CAPTCHAThis field is hidden when viewing the formINTERNAL USE ONLYThis field is hidden when viewing the formAdministrative AssistantThis field is hidden when viewing the formDate Request Received MM slash DD slash YYYY Δ
