Request To Redact Address - Ohio Attorney General

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REQUEST TO REDACT ADDRESS
Pursuant to O.R.C. 149.45(D)(1), a peace officer, parole officer, probation officer, bailiff, prosecuting attorney, assistant prosecuting
attorney, correctional employee, community-based correctional facility employee, youth services employee, firefighter, EMT or
Bureau of Criminal Identification and Investigation investigator may file this form with a public office, other than a county auditor’s
office, to request that the address* of the person making the request be redacted from any record made available by that office to the
public on the internet. *For purposes of this law, “address” is defined as “actual personal residence” by O.R.C. 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 practible, the public office shall, within five business days after receiving the
written request, explain to the individual why the redaction is impractible. O.R. C. 149.45(D)(2)
Instructions:
Complete entire form below and send directly to the public office that maintains the records to be redacted. Each individual
requesting redaction is required to send the completed form to the appropriate public office. The Ohio Attorney General will not
forward requests on behalf of the requesting individual.
The Ohio Attorney General is not required or permitted to review and/or approve a request for redaction.
I, _________________________________, request that the office of __________________________________________
(print full name)
(print full name of public office)
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 employed as a (Check only the ONE that applies):
☐ Assistant Prosecuting
☐ Peace Officer
☐ Firefighter
☐ Probation Officer
Attorney
☐ BCI&I Investigator
☐ Correctional Employee
☐ EMT
☐ Bailiff
☐ Community-Based
☐ Prosecuting Attorney
☐ Youth Services Employee
☐ Parole Officer
Correctional Facility Employee
(Use separate forms if Requester is currently employed and/or commissioned in more than one category.)
To verify employment or commission status, please provide:
Employer: _________________________________________________________________________________________
Employer Address/Contact Information: _________________________________________________________________
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 second page of this form to identify additional locations of address to be redacted)
Signature of Requester: __________________________________________ Date: ______________________________
If a requested redaction is impractible, 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 an explanation.
Address: __________________________________________________________________________________
Telephone Number: (
)___________________ E-mail Address: ___________________________________
___ I do not wish to provide contact information. I will contact the office for an explanation.
Date Request Received _____ / _____ / ______
(To be completed by the public office)
*This document is a public record, and the information you provide may be released in response to a public records request.*
Updated 2/24/14

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