Public Record Request (Online Form)

 

* Indicates a required field.

 * Name:  
    Organization:  
 * Address:  
 * City:  
 * State:  
 * Zip Code:  
 * Phone:  
    Fax:  
 * Email:   
 (Confirmation will be emailed to you.)
*Type of Record Requested:
*Please be specific and include as much detail as possible regarding the record you are requesting.
 
*Format of Requested Record:
                                                                      
To complete an estimate, the Governor's Office of Energy will need the following information:
    *
                                                                      If FedEx was selected, please enter your FedEx billing number:
Statement of Understanding:
* I understand there may be a charge for copies of public records. I understand I will receive a written estimate for production of the records indicated above if the estimated cost is expected to be over $25.00, which I will be required to pay in full prior to reproduction. Copies will be disposed of after 30 days unless other arrangements have been made with the Governor's Office of Energy.