Freedom of Information Act

Name *

First Name

Last Name

Requestor Certification *

By checking this box, I, the above named, hereby certify that I am a citizen of the Commonwealth of Virginia or a representative of one of the public media having circulation in the Commonwealth, and hereby request to inspect and/or copy the following official records pursuant to the Virginia Freedom of information Act. The request must be made with reasonable specificity.

Phone *

(###)

###

####

Records Payment *

By checking this box, the requestor understands he/she will be responsible for paying the Culpeper County Sheriff's Office reasonable charges not to exceed its actual cost în copying and searching for recosts. If the charge for providing the requested records is likely to exceed $200, you may be required to pay a deposit in advance up to the estimated cost. The public body will produce the requested documents within five (5) working days, although simple requests can be processed sooner and some requests may require additional time.