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2. 
4. Request submitted by:

   1. Web form
   2. Email

   1. U.S. Mail
   2. Fax

   1. In-Person
6. Requestor's First Name
7. Requestor's Last Name
9. Requestor's Address1
11. Requestor's Address2
13. Requestor's City
14. Requestor's State
15. Requestor's Zip
17. Requestor's Phone Number
18. Requestor's Fax Number
19. Requestor's Email Address
21. Records Requested:
    Please identify each of the documents that are subject to this request. You must identify these documents with sufficient specificity to enable the County to ascertain which records are being requested.
23. Please check one of hte following boxes: *

    1. I am only requesting access to the documents identified above.
    2. I am only requesting a copy of the documents identified above.
    3. I am requesting access to the documents identified above and a copy of those documents.
24. If you are requesting a copy of the documents identified above, please check one of the following boxes:

    1. I want a paper copy of the documents
    2. Other format (please specify below)
26. Specify format requested - if something other than paper
28. Acknowledgement*

    1. I agree
    2. I disagree

    If you do not hear from our staff about receipt of request within 48 business hours, please call the Solicitor's Office at 717-735-1584 to verify they received it. This does not mean your request will be processed in 48 hours.
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit Submit and Print

* indicates a required field