Public Information Request

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Email *

First Name *

Last Name *

E-mail *

Phone *

Company Name *

Street Address *

City *

State *

Zip Code *

Preferred Method of Contact *

Phone

Region 14 Program or Service (e.g. Supplemental Education Service, Special Education, etc.): *

Information Requested / Feedback: *

Should the request result in a charge or deposit, the requester will receive a written itemized cost estimate before any work is undertaken to process the request. If the requester does not respond in writing within 10 business days of the date, the requester accepts the charges and agrees to pay them or modifies the request in response to the estimate. Questions regarding public information or open records requests at ESC Region 14 may be directed to sfields@esc14.net.

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