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4041 N. Central Ave., Ste. 1200
Phoenix, AZ 85012

602-506-3866

Commercial Purpose Public Request

DISCLAIMER INDEMNIFICATION

Requester/Purchaser understands that the Office of the Maricopa County School Superintendent does not guarantee the accuracy of the data and information requested and hereby expressly disclaims any responsibility for the truth, lack of truth, validity, invalidity, accuracy, inaccuracy of any said data and information. Requester/Purchaser accepts responsibility for Requester/Purchaser’s unauthorized use or transmission of any such data or information in its actual or altered form.

Commercial Records Request *
Request is hereby made to:
Provide as much detail as possible. Indicate dates, names, subjects, etc.
Applicable Reproduction Fee *
I agree to pay the applicable reproduction fee of the records as follows:
Previous Contact *
I have already contacted an employee from The Office of the County School Superintendent regarding this request.
Name *
Name
Phone *
Phone
Fax
Fax
Address *
Address
Pursuant to A.R.S. §39-121.03, I certify that the record(s) are requested for Non-Commercial Purposes ONLY. *