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2. First Name*
3. Last Name*
4. Telephone Number*
6. Email Address
7. Address1*
9. Address2
10. City*
11. State*
12. Zip*
14. How do you wish to receive your records:
    -- Select One --EmailInspect OnsiteMailPick Up
15. Auto Accident Report:
    Click here

    If you are seeking an auto accident report click on the above link for instructions on how to purchase.
17. Records Requested*
    Provide as much information as possible so we can better assist you. Note: The Public Information Act does not require governmental bodies to create new information, perform legal research, or to answer questions. The request must ask for records or information already in existence.
19. Record created date(s)

    When was the record you are seeking created, if applicable (e.g. date range for correspondence, year house/building built for residential/commercial request)? 

21. IMPORTANT NOTE:
    Under the Public Information Act, some categories of information do not have to be released. Exceptions to disclosure fall into two general categories: 1) mandatory exceptions that make information confidential and require a governmental body to withhold information, and 2) discretionary exceptions that allow but do not require a governmental body to withhold information. In most instances, a governmental body is required to request a decision from the Attorney General in order to withhold information from a requestor. However, a requestor may permit a governmental body to redact information without requesting an Attorney General decision. You are not required to agree to the redaction of any information responsive to your request, but doing so may streamline the handling of your request. If you agree to redactions in this request, then you may request the redacted information in a future information request.
23. Category Exclusion List:
    Texas Attorney General

    Click on the above link to read information about mandatory and discretionary exceptions.
25. Do you AGREE to the redaction of information that is subject to MANDATORY exceptions, provided such redactions are clearly labeled on the information you received?

    1. Yes (and I have read the Important Note as it relates to mandatory exceptions)
    2. No
27. Do you AGREE to the redaction of information that is subject to DISCRETIONARY exceptions, provided such redactions are clearly labeled on the information you receive?

    1. Yes (and I have read the Important Note as it relates to discretionary exceptions)
    2. No
29. File Upload
    If applicable, upload a file or image that may assist us in responding to your request.
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31. 1. Receive an email copy of this form.
32. Email address

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33. Submit

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