Maryland Department of Transportation Public Information Act (PIA) Form Request. - MDOTForms

Maryland Department of Transportation Public Information Act (PIA) Form Request.

Part I: Applicant Information

Date *

First Name *

MI

Last Name *

Requester Type*

Citizen

Media

Interest Group

Student

Dealership

Attorney

Business

Others

If Other, please explain

Name of Organization (if applicable)

Street Address *

City *

State *

Zip Code *

Country *

Phone No *

Email Address *

Part II: Description of Records

Maryland Department of Transportation Business Unit

Title

Subject *

Part III: Action Requested

Please select at least one option: *

Review of Record

Copy of Record

Other

If Other, please explain

I understand there may be fees associated with this request. I will receive a written cost estimate for my approval, along with remittance information, prior to the request being fulfilled.

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