Public Records Request
**THIS FORM IS NOT TO BE USED FOR REQUESTING PUBLIC INFORMATION, SUCH AS LICENSING INFORMATION, ADMINISTRATIVE ACTIONS, AND INFORMATION ON INSURANCE COMPANY RATINGS.**

Please use this form to file any public records requests for Public Records Act requests, which are administered by the Wyoming Department of Insurance, per W.S. § 16-4-201 et. seq. The Department contact for FOIA requests is Becky McFarland, General Counsel.
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Your Name: *
Email Address: *
Your Organization (if applicable):
**THIS FORM IS NOT TO BE USED FOR REQUESTING PUBLIC INFORMATION, SUCH AS LICENSING INFORMATION, ADMINISTRATIVE ACTIONS, AND INSURANCE COMPANY INFORMATION.**
Specific information requested, including the desired time frame: *
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This form was created inside of State of Wyoming.