Public Record Request Form

Public Record Request Form

 Step 1 of 2

Request for Records Pursuant to the Indiana Access to Public Records Act

(Indiana Code § 5-14-3-1, et seq., as needed)

Please fill out the form below to request public records.

You can also download our PDF copy of the Public Record Request form to complete and bring in-person to the Department's Office to submit your request.

* Denotes a required field

Request for Records

By completing and submitting this form, I hereby request that the County of Dearborn, Indiana (the "County"), grant me access to the following records:
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Contact Information

Please provide your contact information below to receive your record request.
 
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ZIP*
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Second portion of ZIP Code is optional.
Phone Number*
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Fax Number 
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Contact the County

165 Mary Street
Lawrenceburg, IN 47025
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