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3. 
   Office of the Sheriff
   County of Franklin, Virginia
   FOIA Request Form
5. Please Review Carefully Before Requesting
   
   

   Service Provided	Fee Amount
   Computer Generated Report	$10.00
   Paper Copies (in excess of 10 pages)	$0.25 per page
   In Car Camera Footage / Body Worn Camera Footage / E911 Audio Recording	$25.00 + any additional processing time
   Any additional search/review/redaction occurring over ½ hour is subject to additional fees calculated at $14.00 per hour.
   If the requestor has asked for an advance determination of the cost, or if the cost exceeds $200.00, the requestor shall be notified in advance to agree to payment of a deposit not to exceed the amount of the advance determination.
   Please Note:   Our office only accepts payment in the following - Cash, Cashier’s Check, or Money Order

7. If the FOIA request fees are estimated to exceed the following amount, please contact me before proceeding with this request: (i.e., the amount you are willing to pay is $10 and if it goes over this amount, you will be contacted from this office before your request is fulfilled).

9. Amount You are Willing to Pay*
11. Date of Request*
    Date of Request
12. Name*
14. Street Address*
16. City*
17. State*
18. Zip Code*
20. Email Address*
21. Phone Number
23. I am requesting information pursuant to the Code of Virginia Freedom of Information Act (FOIA) Title 2.2-3700 et, seq, of the Code of Virginia. Our office has 5 business days to respond to your request. Requested information: (Please be specific) *
25. Address of Occurence:*
27. Date of Occurence and Approximate Time:*
    Date of Occurence and Approximate Time:

    Date of Occurence and Approximate Time:
28. I wish to receive the requested records by the following method (must choose one).*

    1. Pickup in Person at the Franklin County Sheriff's Office
    2. Mail to the provided mailing address above
    3. E-Mail to the provided e-mail address above
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field