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2. Name*
4. Company Name
6. Address Line 1*
8. Address Line 2
10. City*
11. State*
12. Zip Code*
14. Email Address*
15. Phone Number*
19. Department(s) request Is for (if known):

    1. Cary Memorial Library
    2. Finance Department
    3. Fire Department
    4. Human Resources Department
    5. Human Services Department
    6. Innovation & Technology Department
    7. Land Use, Health & Development
    8. Police Department
    9. Public Facilities Department
    10. Public Health Department
    11. Public Works Department
    12. Recreation & Community Programs
    13. Retirement
    14. Select Board
    15. Tax Collector
    16. Town Clerk
    17. Town Manager's Office

21. If the department is not known, just fill in the request below and submit the form.

25. Records requested (please be specific - dates, issues or names, etc.):
27. Is the data you're requesting for commercial use?*

    1. Yes
    2. No
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field