
Get the free PUBLIC RECORDS REQUEST FORM - mdhs.ms.gov
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Mississippi Department of Human Services
Form MDS ADM1000
Revised 10.15.19PUBLIC RECORDS REQUEST FORM
Mail or Hand Deliver to: 200 South Lamar Street, Jackson, MS 39201
Email to: public records×MDS.ms.gov
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How to fill out public records request form

How to fill out public records request form
01
Begin by obtaining a copy of the public records request form from the appropriate agency or organization.
02
Read the instructions and requirements provided with the form to ensure you understand the process.
03
Fill out your personal information, including your full name, contact details, and any other required identification.
04
Clearly specify the records you are requesting by providing as much detail as possible, such as dates, names, subject matter, etc.
05
If there is a section to explain the purpose of your request, provide a brief explanation.
06
Review the completed form for accuracy and completeness, making any necessary corrections.
07
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.
08
Make a copy of the completed form for your records before submitting it to the relevant agency or organization.
09
Follow any additional submission instructions provided, such as submitting the form in person, by mail, or electronically.
10
Keep a record of your submission, including any confirmation receipts or proof of delivery, in case it is needed in the future.
Who needs public records request form?
01
Public records request forms are typically needed by individuals or organizations who are seeking access to information that is considered public under the law.
02
This can include journalists, researchers, businesses, attorneys, government watchdog groups, and concerned citizens.
03
Anyone who wants to obtain records or documents that are held by a government agency, public institution, or other publicly-funded entity may need to fill out a public records request form.
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