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2. Ohio law does not require disclosure of your identity or intended use of requested records nor does it require that a request be in writing. However, a public office may ask that a request be in writing, disclosing the identity of the requester and/or stating the intended use, when a written request, disclosure of identity or intended use would enhance the ability to comply with the request.
4. Records Request Information
6. Name of Requester
7. Date of Request
   Date of Request
9. Address
11. City
12. State
13. Zip Code
15. Email
16. Phone
18. Specific Records Being Requested
    With as much specificity as possible, describe what records you are requesting, including date ranges, subject/employee, project, department, etc.
20. Preferred method of receiving records:

    1. Email / file upload to
    2. Inspect in the Office
    3. Mail to (fees apply)
    4. Will pick up when ready (fees apply)
21. Mail to:
22. Email to:
24. Please note: The email / file upload option may not always be possible due to size, type of record, etc.
26. Preferred Medium
    e.g., paper, email, USB drive, etc.
28. Fees may apply to records requests in accordance with the Liberty Township Public Records Fee Schedule.
Leave This Blank:


30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

* indicates a required field