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Sample Request Form for Maryland
(Address of Institution who possesses the records you are requesting)
This request is made pursuant to the Public Records Act of the State of Maryland, Md. Ann. Code art. 10-611 et. seq.
This request is to direct you, your officer(s) and/or agents to provide me with copies of any and all documents and/or records as described below:
The requester is prepared to par for all reasonable search and reproduction fees , pursuant to Ms. An. Code art. 10-621, up to an initial amount of twenty-five dollars ($25.00). If the fees will exceed this amount provide me with a detailed estimation of the fee in advance before performing said work.__The requester further requests a waiver of all fees pursuant to Md. Ann. Code art. 10-621(d).
____________- (list the name of your organization and itsí non-profit/tax-exempt status if applicable) organization dedicated to protecting and educating the public about the rights of animals. We have the ability to disseminate the information we receive through reliable media contacts, and through a published newsletter that reaches over (list the number of members in your organization) people.
Further, The requester asserts that all records requested above are public records as defined by Md. Ann. Code art. 10-611(f). Should you come to an opposite decision, please segregate all claimed exempt portions, provide access to the remaining information and provide me with a detailed written statement of your position with specific reference to the exemptions of the law(s) or any other provision that prohibits said disclosure that you believe to apply, pursuant to Md. Ann. Code art. 10-614(3).
The requester, further, requests a response to this request within thirty (30) days of the receipt of this request pursuant to Md. Ann. Code art. 10-614(a)(2).
(your name and organizational title)
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