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2. Greene County Request for Public Records
4. Request Date:
   Request Date:
6. Requestor Information:
   (Please provide enough contact information so that your request can be delivered)
8. Name (optional):
10. Phone Number:
11. Email:
13. Street Address:
15. Address2
17. City
18. State
19. Zip
21. Fax Number:
23. Office/Department Records Requested from:*
    -- Select One --Adult ProbationAnimal ControlAuditorBoard of County CommisionersBoard of Developmental DisabilitiesBoard of ElectionsBuilding RegulationsChildren ServicesClerk of CourtsCommon Pleas CourtsConvention & Visitors BureauCoronerCounty ServicesDepartment of DevelopementDomestic Relations CourtEmergency Management AgencyEngineer's OfficeEnvironmental ServicesFamily & Children FirstGIS - Geographic Information SystemsGreene County Public HealthGreene County Regional AirportGreenewood ManorJob & Family ServicesJuvenile CourtMVJRC - Miami Valley Juvenile Rehab CenterParks & TrailsPersonnelProbate CourtProsecutor's OfficePublic Defender's OfficeRecorder's OfficeRecords & Information - Archives OfficeRegional PlanningRisk ManagementSanitary EngineeringSheriffs OfficeSoil & Water ConservationTreasurer's OfficeVeteran's Services

    Please use this drop down to select the department name you are requesting records from.

25. Type of record requested:
    (Describe in detail the information you are requesting. Please be specific, including the name of the office/department where the record originates, as well as the Record Schedule Numbers and Titles from the appropriate Retention Schedule. If unsure of what office/department a record originates, please indicate that so that we can assist you in making that determination):
27. Retention Schedule Link
    Appropriate Retention Schedule
29. Describe Request Below:*
31. Date range of records requested:
    Date range of records requested: Start Date

    —

    Date range of records requested: End Date
33. Format Requested:

    1. Paper
    2. Electronic

    1. Other
34. If Other, please describe:
36. Requested Method of Delivery:

    1. Email
    2. Mail
    3. Fax

    1. CD
    2. Pickup in person
    3. Other
37. If Other, please describe:
39. Number of Copies Requested:
40. Notify me of duplication costs exceeding $
42. Upload Your Request
    You have the option to upload your request electronically. The file must be in PDF format to be viewed and processed

44. Greene County Request for Public Records forms can be submitted via the website, email, mail, fax, or dropped off in-person to the appropriate office and/or department.  Please check the box below and enter your email address to receive a copy of your form. 

    Board of County Commissioners
    35 Greene Street
    Xenia, Ohio 45385

    Phone: (937) 562-5006
    Fax: (937) 562-5331

Leave This Blank:


46. 1. Receive an email copy of this form.
47. Email address

    This field is not part of the form submission.

48. Submit

* indicates a required field