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County of Huntington - Access to Public Records Request

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* Denotes a required field

Please Do Not Complete The Following Field

Name of requesting party:*

Address*

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone number:*

Phone Area Code-Phone 3-Phone 4 ext Extension

Email address:*

Date and time of request:*

MonthDay Year, HourMinute : AM/PM

Digital signature of requesting party (type name in field):*

Information requested (please be specific):*

Does requesting party request to inspect or to buy copies of the information being requested?*

Department having information requested (if known):

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