VSARA
Secretary of State Office
26 Terrace St.
Montpelier, Vt.
05609-1101

 

RECORD REQUEST FORM

This form is only for State agencies and departments and their employees. You must be a designated records officer or authorized user to request and receive records. Agencies are responsible for notifying the State Records Center with any changes regarding records officers or authorized users.

If you are a member of the public doing research, please visit our Research/Vitals section. For public records requests or agency records, you must contact the agency or department directly. A list of State agencies and departments is available online at: http://www.vermont.gov/portal/government/

You will receive a full report of your request via your browser when you submit a request, which may be printed for your records.

RECORD REQUEST FORM: STATE EMPLOYEES ONLY


Request ID: 20090106-095351
Requestor's Full Name:
Agency/Department Name:
Requestor's E-Mail Address:
Customer Code (Billing):
Telephone Number:
Fax Number:
Record Series Number:
Box (prefix required) or Film Number:
Record Description:
Customer Code (Shipping):
Delivery Contact's Full Name:
Delivery Street Address:

To learn more about the STATE RECORDS CENTER, CONTACT:

CHRIS FLORA, Supervisor
EMAIL:
PHONE: 802-828-3280

 

This page was last updated on: 2008-12-05