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2. Request for Public Record - Open Record Request
   In order to efficiently locate the record you request, please provide as much detailed information that is available or known in regard to the record of interest. This form is not required by law and you may refuse to complete it. However, it is used to assist in locating your record and fulfilling your request in a timely manner. Any costs associated can include the time it takes to obtain the record, scanning in documents, etc. If the total estimated cost of reproduction and/or locating a record exceeds $5.00 prepayment may be required before the record is provided to any person.
4. Name
5. Email*
   If we have additional questions regarding your request.
6. Phone Number
8. Per Wisconsin Statutes Open Records law, §19.31 through §19.39, I am requesting to inspect or obtain copies of the following records:*
   Try to include dates, times, departments, people, etc to quicken the search process.
10. If your request is better relayed in an upload, please use this space provided.
12. When the record is ready, how would you like it to be viewed?*

    1. In person at Village Hall
    2. Pick up a photo copy of the record
    3. Have a copy mailed to me
    4. Have a copy emailed to me
Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field