Florida Department of Business and Professional Regulation
Mail Completed Form To:
Department of Business and Professional Regulation
Attention: Office of Open Government
2601 Blair Stone Road
Tallahassee, Florida 32399-2203
Or Fax to: 850.488.5761
Public Records Request Form
Date: ______________
Name (Optional): _______________________________________________
Email or Mailing Address: ________________________________________
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Phone Number (Optional): (________) ______________________________
Please provide as much detail as possible about the records you are requesting such as date range, domain names, file numbers, etc. Attach additional sheets if necessary.
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