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Report Copy Request Form

  1. Select type of report/request:

  2. I certify that I am:*

  3. I declare under penalty of perjury that the above information is correct.*

  4. Please select delivery method:*

    **Requestor must submit a valid ID to the Records Unit by fax, email, or mail. Fax: 408-379-7561 Email:

  5. Leave This Blank:

  6. This field is not part of the form submission.