Request for Information This is a request for records under the Missouri Sunshine Law, Chapter 610.010 to 610.303, and Revised Statues of Missouri. I understand that for copies 9 x 14 or smaller, the fee is $0.10 / per page. If requesting documents to be converted to electronic format, I understand I will be charged a fee for clerical staff time and cost incurred. NOTE: Depending on the size and nature of my request for records, I may be charged for research time in accordance with RSMO 610.026.1 and in addition for formats other than paper, I may be charged for the cost of the material used for duplication.REQUESTED BY:Request Date* MM slash DD slash YYYY Name* First Last Address* Street Address City MOAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Phone Number* Please include a valid phone number where you can be reached if our office has additional questions.Email Signature of Requester*I request that you make avaialble to me the following records:*(Describe the records as specifically as possible. Where you are asking for records that cover a particular period, such as last year or a specific month, identify that time period.)CAPTCHAHiddenINTERNAL USE ONLYHiddenAdministrative Assistant HiddenDate Request Received MM slash DD slash YYYY Δ
