Form Center

2. Liberty Township Public Records Request

   Please provide a detailed description of the records you are requesting. In order to expedite the search for the records, please be as specific as possible.

    

   NOTE: If you are requesting an EMS report, all requests for EMS records must be submitted directly to Medicount Patient Relations. Please call (513) 612-3154 or send an email to ptrelations@medicount.com

4. Additional Information
   Public Records Policy
6. First Name
7. Last Name
9. Email Address*
11. Records *

    Please provide a detailed description of the records you are requesting. In order to expedite the search for the records, please be as specific as possible.

     

    NOTE: If you are requesting an EMS report, all requests for EMS records must be submitted directly to Medicount Patient Relations. Please call (513) 612-3154 or send an email to ptrelations@medicount.com

13. Department*

    1. Administration
    2. Economic Development
    3. Finance / Fiscal Office
    4. Fire / EMS

    1. Planning / Zoning
    2. Services / Roads / Parks
    3. Other
Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field