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Public Information Act Request Form

  1. Frederick County Maryland
    Public Information Act Request Form

  2. Please provide the following information:

  3. Business/Agency Name

  4. xxx-xxx-xxxx

  5. Are you making this request on behalf of:

  6. How do you want to receive the records?*

    choose one

  7. Form submitted to the Office of the County Attorney
    12 E. Church Street - Frederick, MD 21701 - 301-600-1030

  8. Leave This Blank:

  9. This field is not part of the form submission.