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2. If Fees are due for the records requested, a link will be sent for payment. 

4. Name of Requester*
5. Email Address*
7. Address or Coordinates of Incident / Site*
9. City
10. State
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11. Zip Code
13. Other Location Information

    Any information that may help us locate the property in question. 

15. Phone Number*
16. Date of Incident / Inspection
    Date of Incident / Inspection
17. Kaufman County Incident Number

    Same as CFS Number

19. Other Reference Number 1

    Tran #

20. Other Reference Number 2

    Claim # 

22. Description of records being requested*

    Any Records will be emailed to the email address provided in this request. 

23. Records Request Options
    -- Select One --I Agree to Accept a redacted copy of the records.I am requesting records with no redactions.
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25. Email address

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