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Get Open Records Request Form 4.13.11
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How to fill out the OPEN RECORDS REQUEST FORM 4.13.11 online
Filling out the Open Records Request Form 4.13.11 is a straightforward process that allows users to request access to public records. This guide provides detailed, step-by-step instructions for completing the form online, ensuring that everyone can navigate the process with ease.
Follow the steps to successfully complete your request.
- Click the ‘Get Form’ button to obtain the form and access it in your browser.
- In the 'Date of Request' field, enter the date you are submitting the request.
- In the 'Requestor Name' field, provide your full name. If applicable, include the name of your law firm in the designated section.
- Fill out your daytime phone number and email address to ensure the Office of Inspector General can contact you if needed.
- In the 'Address' section, write your complete address including city, state, and zip code.
- Indicate the facility you are requesting information about by completing the 'Facility Name' and 'Address' sections.
- Enter the date range for the documents you are requesting in the 'Date Range of Documents requested' field.
- Select the types of documents you are requesting by marking all that apply, such as 'Statement of Deficiencies' or 'Type A or B Citations'.
- Choose your preferred format for receiving the documents: either on a CD or as paper copies, noting any applicable fees.
- Indicate your preference for delivery or pickup of the documents by selecting one of the provided options.
- Sign and date the form in the designated area to complete your request.
- Once completed, you can save changes to the form, download a copy, print it out, or share it as needed.
Take control of your records today by filling out the OPEN RECORDS REQUEST FORM 4.13.11 online!
The attached DD Form 2870, Authorization for Disclosure of Medical or Dental Information, authorizes Fox Army Health Center (FACH) to release medical information to specific individuals other than the patient for purposes other than treatment, payment or healthcare operations. Block 5: Mark all that apply.
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