Orange County NC Animal Services - Public Records Request Form

This form is intended to aid you in receiving information from Orange County Animal Services that is subject to North Carolina public records laws. Please allow sufficient time for us to process your request and for you to receive the information. Pursuant to applicable North Carolina General Statutes, this document may be considered a public record; as such it may be subject to inspection.

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* First Name:

* Last Name:

* Email Address:

Phone Number:

Address:

City:

State:

Zip Code:

* Requested Records/Information (please be as specific and detailed as possible):

Details of Incident (please be as specific and detailed as possible):

Date Incident Occurred:

* How would you prefer to receive the requested information?

Email sent to the following address:

Faxed to the following fax number:

Mailed to the following address:

Other (please specify):

Complete the following sections only if they pertain to the information you are requesting:

Victim's Name and Address:

Name and Address of Owner/Keeper of Animal: