Request for Madison County Public Records Instructions
This form contains 20 fields organized into 3 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| General | ||
| Fillable | Text | |
| Fillable | Text | |
| Fillable | Text | |
| Fillable | Text | |
| Fillable | Text | |
| Fillable | Text | |
| Fillable | Text | |
| Public Information Requested: | ||
| Information Details | Text |
Provide a detailed description of the public information you are requesting, being as specific as possible.
|
| Requestor Signature | Text |
Provide the signature of the requestor.
|
| Requestor Printed Name | Text |
Provide the printed name of the requestor.
|
| Requestor Information | ||
| Request Date | Date |
Enter the date on which this request is being made.
|
| Home Phone Number | Text |
Provide your home telephone number.
|
| Cell Phone Number | Text |
Provide your cell phone number.
|
| Requestor Name | Text |
Enter the full name of the person making this request.
|
| Organization or Company | Text |
Provide the name of the organization or company you represent, if any.
|
| Street Address | Text |
Enter the street address for correspondence.
|
| City | Text |
Enter the city part of your address.
|
| State | Text |
Enter the state part of your address.
|
| Zipcode | Text |
Enter the postal code for your address.
|
| Email Address | Text |
Provide your email address for communication.
|