Online Form - FOIA Request - Kilmarnock, Virginia

1. Name of Person Requesting Information*
First Last
2. Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
3. Email Address*
4. Telephone Number*
While a written request is NOT REQUIRED under the Freedom of Information Act, you may want to consider putting your request in this form to ensure that your request is clearly communicated
5. In accordance with the Virginia Freedom of Information Act (Section 2.2-3700 et seq.), I am requesting copies of the following records: (Please be specific. This will assist us in processing your request and help minimize your cost)
I request that all charges for supplying the records I have requested be estimated in advance
6. Choose one of the following
- Please only email the records to the address below.
- Please mail the records to the address above. I understand that I will be responsible for postage charges.
- Please call me when the records are ready, and I will pick them up.
I understand that of the Town of Kilmarnock determines that the charges are likely to exceed $50, I am obliged to pay that amount before you continue to process my request. I understand and agree that charges may include staff time for research, copies and postage.
7. If you have any questions or require additional information in order to process my request, please do not hesitate to contact me via: (Choose all that apply)
- Email
- Telephone
*
I agree to electronically sign and to create a legally binding document between the other party and myself, or the entity I am authorized to represent.

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Town of Kilmarnock

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