Get Public Records Exemption Request Form

The Public Records Exemption Request Form is a crucial document for individuals wishing to protect specific identification and location information from public disclosure. This guide will provide clear, step-by-step instructions on how to complete the form online.

Follow the steps to successfully complete your request form.

1. Click ‘Get Form’ button to download the Public Records Exemption Request Form and open it in your preferred form editor.
2. Begin by filling in your printed name, date of birth, and phone number in the designated fields. Ensure accuracy as this information is crucial for identification purposes.
3. Provide your home address in the space provided. This information will also be considered for exemption under the applicable statutes.
4. Carefully review the list of exemption categories and select the one that applies to you. If your exemption category does not appear on the form, use the ‘Other’ option to specify.
5. If you are submitting the request on behalf of a spouse or child, include their name, date of birth, and relationship on an attached sheet as necessary.
6. If applicable, complete the Addendum for Exemption of Public Disclosure, especially if your records may be held by the Division of Corporations. Fill in the details regarding your past associations and addresses.
7. Sign and date the form at the designated lines. This certification indicates that you have made reasonable efforts to protect the information from public access.
8. Once the form is filled completely, review all entered information for accuracy. You can then save the changes, download, print, or share the completed form as needed.

Submit your Public Records Exemption Request Form online today to protect your personal information.