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2. Frederick Police Department Public Information Act Request Form
   PURSUANT TO STATE GOVERNMENT ARTICLE, SECTION 10-614, OF THE ANNOTATED CODE OF MARYLAND, THE UNDERSIGNED REQUESTS A COPY OF ALL PUBLIC RECORDS CONTAINING THE INFORMATION HEREINAFTER DESCRIBED.
4. Date:*
6. Requester:*
8. E-Mail:
10. Phone Number:*
12. Address:*
14. City:*
16. State:*
18. Zip:*
20. I request the following public record/s:*
22. A processing fee of $ 5.00 per Report will be charged for every request. When the request has been approved, you will be notified as to the total fee. Remit the exact amount by check or money order, payable to the “City of Frederick” within 30 days from date of approval. Should your request be denied, you will be notified within 10 days and you will have the right to petition the circuit court in the jurisdiction of your residence or business location, or where the records are situated, to review the matter and rule on such denial.

    Mail or Fax: Dana Kelly, Frederick Police Department, 100 W. Patrick St, Frederick MD 21701

    FAX (301)600-2720/ Email dkelly@frederickmdpolice.org
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24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

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