Today's date (auto-filled)*
Name of requestor*
Are you a member of the media?*
*LFUCG may be unable to send records via email due to file size limitations or the inability to convert a copy of the record into PDF format. Records will be made available for in person inspection or sent via mail (if requestor is outside Fayette County) if they cannot be emailed.
Statement regarding residency. I further state that I am a resident of Kentucky because I am (please check one):*
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