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Government Records Request Form (OPRA)

  1. Please include area code and extension.

  2. Preferred Delivery*

  3. Under penalty of N.J.S.A. 2C:28-3, I certify that I _______ been convicted of any indictable offense under the laws of New Jersey, any other state, or the United States.*

      1. Select Payment Method

      2. Paper Size 8 ½ X 11: $0.05 per page
        Paper Size 8 ½ X 14: $0.07 per page

      3. Delivery / postage fees additional depending upon delivery type.

      4. Extraordinary service fees dependent upon request.

      5. To expedite the request, be as specific as possible in describing the records being requested. Also, please include the type of access requested (copying or inspection), and if data, the medium requested.

      6. Leave This Blank:

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