Public Records Form

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Medina County Sheriff’s Office Public Records Request Form

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1. INFORMATION OF PERSON REQUESTING RECORDS:

First Name Last Name

2. Phone

Email*

3. DESCRIBE IN DETAIL THE RECORDS BEING SOUGHT (Report Numbers, Names of Involved Parties)*

Date of Report/Incident*

Time of Report/Incident

Location of Incident

4. WOULD YOU LIKE COPIES OF THESE RECORDS OR DO YOU WANT TO INSPECT THESE RECORDS?*

Would like a copy

Want to inspect