Record Request Form - 4260F
Please complete the following sections:
Requester's First Name *
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Requester's Last Name *
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Requester's Email Address *
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Requester's Phone Number *
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Requester's Street Address *
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City *
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State, Zipcode *
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Record(s) Requested *
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I acknowledge by submitting this form that the records sought by this request will not be used for a mailing list as set forth in Idaho Code Section 74-102.
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