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Request To Redact Address - Ohio

Request To Redact Address Form. This is a Ohio form and can be used in Citizen Protection Attorney General Office Statewide .
 Fillable pdf Last Modified 10/23/2008
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REQUEST TO REDACT ADDRESS A peace officer, parole officer, prosecuting attorney, assistant prosecuting attorney, correctional employee, youth services employee, firefighter, or EMT may request a public office or a person responsible for the public records of a public office, other than a county auditor's office, to redact the address* of the person making the request from any record made available to the public on the internet. Ohio Revised Code Section 149.45 (D)(1) *For purposes of this law, "address" is defined as "actual personal residence" by Ohio Revised Code 149.43(A)(7)(a). This form is required to "include a place to provide any information that identifies the location of the address [of the individual] to be redacted." O.R.C. 149.45(D)(4) If redaction is not practicable, the public officer or person responsible for the public office's public records shall verbally or in writing within five business days after receiving the written request explain to the individual why the redaction in impracticable. O.R..C. 149.45 (D)(2) I, (print full name) , request that the office of redact the address of my actual personal residence from any record made available to the general public on the internet that includes my residential and familial information. Requester is currently (Check only the ONE that applies ­ use separate forms if Requester is currently employed and/or commissioned in more than one category): ___ Peace Officer ___ Parole Officer ___ Prosecuting Attorney ___ Assistant Prosecuting Attorney ___ Correctional employee ___ Youth Services employee ___ Firefighter ___ EMT To Verify Employment or Commission Status Please Provide: Employer: ___________________________________________________________________ Employer Address: ____________________________________________________________ Employer Contact Information: __________________________ ______________________ Contact Name Phone Number For each known instance, please identify the location of your actual personal residential address within any record made available by this office to the public on the internet: Document Title and Description: Specific Web Address (URL): Location Within Document of Address To Be Redacted: (Use the back of this form to identify additional locations of address to be redacted) Signature of Requester: _____________________________________________________________ If a requested redaction is impracticable, we will provide you with an explanation within five (5) business days after receiving your written request. Please provide contact information below, or indicate that you will contact this office to receive any explanation. This document is a public record, and the information you provide may be released in response to a public records request. Address: _____________________________________________________________________ Telephone Number: (____)_______________ E-mail address: __________________________ ___ I do not wish to provide contact information. I will contact the office for any explanation. Date Request Received ______/______/______ (To be completed by the public office) revised 08/2008 American LegalNet, Inc. www.FormsWorkflow.com Document Title and Description: Specific Web Address (URL): Location Within Document of Address To Be Redacted: Document Title and Description: Specific Web Address (URL): Location Within Document of Address To Be Redacted: Document Title and Description: Specific Web Address (URL): Location Within Document of Address To Be Redacted: Document Title and Description: Specific Web Address (URL): Location Within Document of Address To Be Redacted: Document Title and Description: Specific Web Address (URL): Location Within Document of Address To Be Redacted: Document Title and Description: Specific Web Address (URL): Location Within Document of Address To Be Redacted: revised 08/2008 American LegalNet, Inc. www.FormsWorkflow.com
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