Public Record Request Form

Under the Mississippi Public Records Act § 25-61-1 et seq. - public records must be available for inspection by any person unless otherwise provided by this act [Laws, 1996, chapter. 453}. Furthermore, providing access to public records is a duty of each public body and automation of public records must not erode the right of access to those records. "Public records" shall mean all books, records, papers, accounts, letters, maps, photographs, films, cards, tapes, recordings or reproductions thereat and any other documentary materials, regardless of physical form or characteristics, having been used, being in use, or prepared, possessed or retained for use in the conduct, transaction or performance of any business, transaction, work, duty or function of any public body, or required to be maintained by any public body.

To request access to public records, please complete this form:

1 Start 2 Complete

Individual Name: (Print) *

Date: *

Month

Day

Year

Signature: *

Signature may be required, when and if request is fulfilled.

Email Address: *

Phone Number *

Name of Agency/Business:

Address:

List the Hinds County Department, if known, from which information is requested.

Identify the specific records or information sought. Please be as specific as your knowledge of the available records will allow. (Use additional sheets, if necessary)

Fee

A fee per page will be assessed for duplicating information. Hinds County may invoice additional charges as allowed by the law, such as research time, copying time, etc. Submit Request to: Board Attorney Hinds County Board of Supervisors P.O. Box 686 Jackson, MS 39205 (Note: Allow seven (7) working days for a response.)

(NOTE: Allow seven (7) working days for a response.)

Email Address:

Leave this field blank