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2. First Name*
3. Last Name*
5. Address*
7. City*
8. State*
9. Zip Code*
11. Phone Number*
12. Email*

14. Under the Wyoming Public Records Act, §16-4-201 et seq., I am requesting an opportunity to inspect or obtain copies of public records as described below:

16. Description of Record Sought*

    Describe in detail the information you are requesting.

18. Records Request Options*

    1. I would like to inspect the records
    2. I would like to receive copies of the record
19. Amount willing to pay for requested records*
21. Requirements*

    1. I understand the fees per request are contingent upon the complexity of the request. If the estimated cost to produce requested records is more than the amount I have specified I will be contacted.
    2. I understand I will be contacted to establish payment arrangements prior to my request being processed.
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

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