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2. Today's Date*
   Today's Date
4. First Name*
5. Last Name*
7. Mailing Address*
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Email Address*
16. What department are you requesting records from?
18. Description of Public Records Requested:*

    Please describe the public records you wish to receive. In order to expediate the search for the records, please be as specific as possible.

20. I would prefer to receive the information via:*

    1. Mail
    2. Email
    3. Pick up at Town Hall
    4. Pick up at Fort Mill Police Dept.
22. Are you requesting these public records for commercial / business purposes?*

    1. Yes
    2. No
24. I understand that obtaining or using public records for commercial solicitation to any persons in this state is prohibited under South Carolina Code Section 30-2-50, which may result in criminal prosecution.*

    1. Click Here to Acknowledge
26. I also understand that the Town of Fort Mill has ten (10) days, excluding weekends and Town Holidays, in which to respond and that I could be charged in accordance with the Town's FOIA fee schedule (linked below).*

    Click Here to view the FOIA Fee Schedule

    1. Click Here to Acknowledge
28. Digital Signature of person making the request:*

    By typing your first and last name above, you are agreeing and acknowledging that your digital signature is valid and binding upon you to the same force and effect as a handwritten signature.

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30. 1. Receive an email copy of this form.
31. Email address

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32. Submit Submit and Print

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