FOIA Request Form

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Date*
Date Format: MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Request For:*
- Copy
- Certified copy
- Record inspection
- Subscription to record issued on regular basis
Delivery Method*
Note: The Washtenaw County Road Commission is not required to provide records in a digital format or on digital media if the Washtenaw County Road Commission does not already have the technological capacity to do so.
Please describe the record(s) as specifically as possible.*
You may also attach additional information using the upload below.
File
We accept .jpg, .doc, .pdf, .docx
Drop files here or

Accepted file types: jpg, doc, pdf, docx.

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