RANKIN COUNTY SHERIFF'S OFFICE - Public Information Request Form

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This form, completed in full, must be received prior to the release of any information. Proper identification must be provided by requester upon submission of this form. Requests for records involving juveniles must be made through the Rankin County Youth Court. Public records requests submitted in the proper form shall be responded to in accordance with §25-61-5 Miss. Code Ann. (1972). Fees for information requested must be paid prior to release of any information. The fee is $10.00 to process this request.

This includes the first report, if there is anything found. There is a $10.00 charge for each additional document found. The type of records located will vary, which may or may not include video or audio recordings, reports and documents, and other related materials. Note: If you select All Records, this charge applies to each document found.

If requesting by mail, please complete and enclose this PDF form, completed in full, a check made payable to the Rankin County Sheriff’s Department, a copy of your driver’s license, and a self-addressed, stamped envelope.

Please complete the fields below to submit your request for a Public Record.

* Denotes a required field

Requester's Information

Please Do Not Complete The Following Field

Person Requesting Information*

Date*

MonthDay Year,

Address

City

State

ZIP

Zip-Zip +4
Second portion of ZIP Code is optional.

Phone Number

Phone Area Code-Phone 3-Phone 4 ext Extension

Agency/Business/Organization (if applicable)