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3. 

6. **IF THE RECORDS YOU ARE REQUESTING ARE FOR PROPTERTY OR AN INCIDENT THAT IS INSIDE THE CITY OF CARROLLTON, THE CITY OF BREMEN, OR INSIDE FAIRFIELD PLANTATION THEN THE FIRE DEPARTMENT FOR THAT DISTRICT SHOULD BE CONTACTED**

8. IS THIS REQUEST FOR A/AN:*

   1. BUSINESS
   2. PROPERTY OWNER
   3. INDIVIDUAL
10. REQUESTOR'S NAME (First & Last Name)*
12. BUSINESS NAME*
14. REQUESTOR'S FULL ADDRESS*
15. REQUESTOR'S PHONE NUMBER*
17. REQUESTOR'S EMAIL ADDRESS*
19. REQUESTED DOCUMENT(S):*
    -- Select One --INCIDENT REPORTISO ASSESSMENTENVIRONMENTAL SITE ASSESSMENTPROPERTY INQUIRY (Research Pre/Post Purchase)RECORD REQUESTOTHER
21. REQUEST DESCRIPTION:*
23. WERE YOU INVOLVED IN THE INCIDENT?*

    1. YES
    2. NO
24. ARE YOU REPRESENTING A PARTY INVOLVED IN THE INCIDENT?*

    1. YES
    2. NO
26. INCIDENT DATE*
    INCIDENT DATE
27. INCIDENT NUMBER
29. INCIDENT TYPE
31. INQUIRY ADDRESS
33. ATTACH SUPPORTING DOCUMENTS

35. After reviewing your request you will be notified within three business days if the documents requested are subject to release under the open records law.

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37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field