Public Records Request Form

Asterisks “*” below indicate required fields to complete your request.

Name (Optional)
First Last
Phone * Required
Email * Required
Please provide a description of the records you are requesting. Although public records request do not have to be made in writing (contact Director of Human Resources at 419-755-4871 to make a verbal request) please identify the records requested with sufficient clarity to allow North Central State College to identify, retrieve, and review the records. If it is not clear what records are being sought, the Director of Human Resources (records custodian) will contact you for clarification. * Required
How would you like to receive the requested records? * Required
- Hard Copies (charges will apply)
- Via email
- I would like to review the record but do not require copies.
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