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2. 
3. Request to Examine/Copy Public Records

   To: Records Custodian 

   I hereby request, pursuant to Idaho Code § 74-102, to examine and/or copy public records as specified below.

5. What type of records are you requesting?*
   -- Select One --Sheriff's OfficeCourt RecordsAll other county offices
7. Records Requested:*
9. Check All That Apply:

   1. These records specifically pertain to myself.
   2. I wish to merely examine these records.
   3. I wish to have copies of these records
10. Please send me the records via:

    1. E-mail
    2. Fax
    3. Mail
12. First Name*
13. Last Name*
15. Phone Number*
16. Fax Number
18. Email Address
20. Address*
22. City*
23. State*
24. Zip Code*
26. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
28. Electronic Signature
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field