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Maryland Public Information Act Request Form

2. In accordance with maryland’s public information act, title 4 of the general provisions article of the annotated code of maryland, the undersigned requests a copy of all public records containing information hereinafter described.

   In accordance with maryland’s public information act, title 4 of the general provisions article of the annotated code of maryland, the undersigned requests a copy of all public records containing information hereinafter described.

4. <p>Please refer to the Maryland Public Information Act Guidelines for information on the timing of a response to your request. A response may include a copy of responsive records or notification that responsive records are available for your review.</p> <p>The first 40 pages of black and white, single-sided copies of documents requested are free. A copying fee of $.20 per single sided letter page will be charged for additional copies.</p><br> <p><strong>Records will be released only upon full payment of required fees. Large requests will require a deposit. A waiver of fees may be requested. Waiver determinations are made on a case-by-case basis.</strong></p> <br> <p>Questions should be directed to MPIA Coordinator.</p><br> <p><strong> Contact</strong></p> <p>The City of Rockville<br /> 111 Maryland Ave.<br /> Rockville, MD 20850</p> <p>Email: <a href="mailto:mpia@rockvillemd.gov">mpia@rockvillemd.gov</a> <br /> Phone: 240-314-8139<br /> Fax: 240-314 -8130</p>

   Please refer to the Maryland Public Information Act Guidelines for information on the timing of a response to your request. A response may include a copy of responsive records or notification that responsive records are available for your review.

   The first 40 pages of black and white, single-sided copies of documents requested are free. A copying fee of $.20 per single sided letter page will be charged for additional copies.

   
   

   Records will be released only upon full payment of required fees. Large requests will require a deposit. A waiver of fees may be requested. Waiver determinations are made on a case-by-case basis.

   
   

   Questions should be directed to MPIA Coordinator.

   
   

   Contact

   The City of Rockville
   111 Maryland Ave.
   Rockville, MD 20850

   Email: mpia@rockvillemd.gov
   Phone: 240-314-8139
   Fax: 240-314 -8130

6. Date
   Date

8. First Name*

9. Last Name*

11. Address 1

13. City

14. State

15. Zip

17. Phone

18. Email*

20. List the requested public records*

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22. 1. Receive an email copy of this form.
23. Email address

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24. Submit

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