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Public Records Request and Fee Reduction/Waiver Form

  1. I. Contact Information
    Please provide any information necessary to fulfill and deliver your request. At least one method of communication is required.
  2. Are you a convicted felon?
  3. II. Request Description
    Describe the records requested. Be as specific as possible, using names, dates, locations, departments, etc. Please attach additional sheets as necessary.
  4. III. Delivery Preference
    Please check all that apply.
  5. Delivery Options
  6. IV. Fee Waiver/Reduction
    Please check all that apply. Local, City, or Parish entities may qualify for fee reduction, but do not qualify for fee waivers.
  7. Fee Reduction Certification
  8. Reduction Condition
  9. Fee Waiver Certification
  10. Leave This Blank:

  11. This field is not part of the form submission.