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Public Record Request

2. On-Line Public Records Request, Washington County, Ohio

4. Select from the following list the department/office you would like to request records from:*
   -- Select One --Board of Behavioral Health ServicesBoard of ElectionsBuilding DepartmentBuilding & Grounds MaintenenceChild Support Enforcement AgencyChildren Services BoardClerk of CourtsCommon Pleas CourtCounty CoronerCounty CommissionersCounty EngineerCounty Health DepartmentCounty HomeCounty ProsecutorCounty RecorderCounty TreasurerEmergency Management AgencyEwing-Wasco WorkshopFamily & Children First CouncilHuman Resources/Safety & Loss ControlInformation TechnologyJob & Family ServicesLaw LibraryProbate/Juvenile CourtRetired Senior Volunteer Program (RSVP)Sheriff's OfficeSoil & Water Conservation AgencyVeteran's Services

6. In accordance with Ohio Revised Code Section 149.43, I request the following specific public records:*

   I understand that there are some records maintained by Washington County government offices that by law are not available for public review.

8. Choose Preferrd Method of Delivery*

   1. I prefer the records forwarded electronically to the email address I provide below, as there will be no charge.
   2. I prefer the records copied and mailed to me at the address I will provide below, and I will pay $0.10 per one-sided page.
   3. I prefer the records copied and held for me to pick up, and I will pay $0.10 per one-sided page.

   NOTE ON FEES: The County Recorder's fee per page is $2.00.

10. Please consider the following when filling out the bottom portion of this form:
    Please note that although you are not required to fill out a form or provide your name we may be unable to fulfill online requests without some means of contacting you. If you wish to make a request for public records without providing such information, please consider an alternative method of making your request.

    Please note that although you are not required to fill out a form or provide your name we may be unable to fulfill online requests without some means of contacting you. If you wish to make a request for public records without providing such information, please consider an alternative method of making your request.

12. First Name

13. Last Name

15. Mailing Address

17. City

18. State

19. Zip

21. E-Mail Address

22. Phone Number

    (xxx) xxx-xxxx

24. Date of Request:
    Date of Request:

26. For questions/assisstance when filling out this form, please contact Ben Cowdery, Clerk, Washington County Commissioners at: bcowdery@wcgov.org, or (740) 373-6623, ext. 2011.

    For questions/assisstance when filling out this form, please contact Ben Cowdery, Clerk, Washington County Commissioners at: bcowdery@wcgov.org, or (740) 373-6623, ext. 2011.

Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit Submit and Print

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