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Records Requests

If an attorney, do you represent the subject of the request?
Name of Agency You Represent
Requestor Address
City, State, Zip
,
Requestor Phone Number
Requestor Fax Number
Requestor Email
Are you an Idaho resident?
   I declare under penalty of perjury that I am an Idaho resident as defined in Idaho Code Section 74-101(15). Further, I declare under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct.
I am NOT an Idaho resident.
Subject of Request (name of person or business)
Requestor Notes
Request From Date
Request To Date
* Please attach completed and notarized Informed Consent Release form.
* Please attach completed and notarized 3rd party Confidentiality form if records are to be released to a 3rd party.
* Please attach letter of representation on company letterhead.
You may attach up to five supporting documents. NOTE: Each file must be less than 5 MB in size. Only the following file types are allowed: pdf, bmp, gif, jpg, jpeg, png


Idaho