I would like certified copies. ($25.00 fee - written statement on a public record attesting to the record's genuineness or that it is a true and correct copy)
Licensee First Name or Business Name:
Licensee Last Name:
Licensee License Number:
Document Type (check all that apply)
Additional identifying information (address, school, etc.) or special instructions to processor. Limit of 4 lines.
Please enter requestor information below:
Street Address Line 2:
(Note:Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.)
Please mail documents to:
Use Requestor Address?
Address Line 2: