DJS Public Information, Facility Tour Request Form

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Request For Public Records

Pursuant to State Government Article, Section 10-614, of the Annotated Code of Maryland, the undersigned requests a copy of all public records containing the information hereinafter described.

Requestor

1.	First Name:*

2.	Last Name:*

Self/Organization:*

Self	Organization

4.	Mailing Address: Address: 1* Enter Your Address

5.	Address 2:

6.	City: *

7.	State: *

8.	Zip:*

9.	Contact Information Phone: *

10.	E-mail:*

11.	Records Requested Be as specific as you can, describing types of records, dates, parties to correspondence, subject matter, etc. The public body will make every reasonable effort to assist you in identifying the records being sought. Note: Requests for voluminous records may be delayed. Describe the types of records, dates, parties to correspondence, subject matter, etc.*

Submit