MCW Consortium on Public and Community Health

Public Records Request

To make a public records request to the MCW Consortium on Public and Community Health, please complete the applicable sections of the following form. All fields marked with * are required.

If the cost of copying, mailing and/or locating the records due to an open records requests exceeds $5.00 we may charge for such costs. An estimate will be sent to you and if pre-payment is required, no action will be taken until payment is remitted.

Click 'submit' at the bottom of the form to transmit your request.

Information Request


Name:	First	Middle	Last	Suffix/Credentials

Organization/

Department:

If MCW, please include department only

Phone Number:

How would you like to receive the requested files?

I would like a paper copy of the requested filesI would like a PDF format of the requested filesI would like both a paper copy and a PDF format of the requested files

Email:


Address:	Street	City	State	Zip Code

To the extent known, please identify the specific title of the document, description of document contents and the date it was issued (if applicable). For information pertaining to Consortium funded projects, please indicate the project title, and portions of the proposal that you are interested in receiving. Project descriptions are available for review on our webpage.

Contact Information