Ball State University Public Records Request Form

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Ball State University Public Records Request Form
Please complete this form and file it with the Office of University Compliance. You may file this form by any of the four methods
listed below:
In person – by delivering the form to AD 335 during regular business hours.
By Fax – 765-285-6605 during regular business hours. Please note, fax machine does not receive transmissions outside of
regular business hours.
By Email –
Publicrecord@bsu.edu
– Please note your email request must attach a PDF version of this form with your
signature. Email requests without an attached PDF form with your signature will not be processed. The
Publicrecord@bsu.edu
email account does not accept transmissions outside of regular business hours.
By U.S. mail or messenger service.
If you have questions, please call Office of University Compliance during regular business hours at 765-285-5162.
_________________________________________________________________________________________________
Print or type the following information:
Name of person requesting record: __________________________________________________________________
U.S. Mailing address for communications by mail: _____________________________________________________
_________________________________________________________________________________________________
Email address if you prefer communications via email: _________________________________________________
Phone: ___________________________
Organization/Place of Employment: _________________________________________________________________
Please identify the specific record you are requesting:
If your request is approved, please check your preference:
o Inspect the record
o Obtain a copy of the record
o By copying in person via access to copying machine
o By receiving a copy of record via email as PDF
Signature of the person requesting this record: ________________________________________________________
UC-2/21/07

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