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MadisonCountyKY.gov

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Kentucky Open Records Request

Submit a Kentucky Open Records request using the form below. After submission, you will receive a reference number for tracking.

Request Routing

Select the department most likely to maintain the records.

Department * Date Submitted

Requester Information

Fields marked with an asterisk are required.

First Name * Last Name * Company / Organization (if applicable) Street Address * Street Address Line 2 City * State / Province * Postal / ZIP Code * Email Address * Phone Number *Enter a 10-digit phone number. It will automatically format as (###) ###-####.

Records Requested

Please describe the records precisely enough for staff to identify them.

Describe the public records you want to inspect and/or receive *

Required Statements

These questions follow Kentucky's standard open-records request form.

Use of public records *

Kentucky law distinguishes requests made for a commercial purpose from other requests. Select one.

NOT for a commercial purpose FOR a commercial purpose

Statement regarding residency *

I state that I am a resident of Kentucky because I am:

An individual residing in the Commonwealth A domestic business entity with a location in the Commonwealth A foreign business entity registered with the Kentucky Secretary of State An individual employed and working at a location within the Commonwealth An individual or business entity that owns real property within the Commonwealth An individual or business entity authorized to act on behalf of a qualifying Kentucky resident or business A qualifying news-gathering organization

Is the requested information from a database or Geographic Information System (GIS)? * Yes No If yes, provide any parcel, map, layer, address, or dataset details

Certification & Signature

Review the request and sign below.

I affirm that the information in this submission is correct to the best of my knowledge. *

Signature *

This online portal is provided as a convenient submission method. Other methods of submitting a request may also be available under Kentucky law and agency policy.

✓

Request Received

Your Open Records Request has been received. Keep the reference number below for your records.

REFERENCE NUMBER

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