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2. Notification
   You are not required to identify yourself or explain the reason for your data request. However, if you want us to mail/email you copies of data or schedule an appointment to inspect data in-person, we will need some type of contact information. We also need contact information if we do not understand your request. We will not work on your request until we can clarify it with you.
4. First Name
5. Last Name
7. Phone Number:
9. Email Address:
11. Mailing Address:
13. City
14. State
15. Zip
17. Describe the data you are requesting as specifically as possible:
19. I am requesting access to data in the following way:
    -- Select One -- Inspection Copies Both inspection and copies
21. Data Access:
    Copy Costs – Members of the Public: This government entity charges members of the public for copies of government data. These charges are authorized under Minnesota Statutes, section 13.03, subdivision 3(c). You may be required to pay for the copies before we will give them to you. We charge .25 for your first 10 copies, and .10 for each copy after that. Most Other Types of Copies – Actual cost The charge for most other types of copies, when a charge is not set by statute or rule, is the actual cost of searching for and retrieving the data, and making the copies or electronically transmitting the data (e.g. sending the data by email). In determining the actual cost of making copies, we factor in employee time, the cost of the materials onto which we are copying the data (paper, CD, DVD, etc.), and mailing costs (if any). If your request is for copies of data that we cannot reproduce ourselves, such as photographs, we will charge you the actual cost we must pay an outside vendor for the copies.
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field