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DATE:

FLORIDA COMMMISSION ON HUMAN RELATIONS

Requestor Name:

Please specify your position in this case (ie, Complainant, Complainant Representative (submit Letter of Representation if not previously submitted), Respondent Representative (submit Letter of Representation if not previously submitted) or Other (for cases in hearing or filed in court – submit copy of hearing/case filing).

Signature (electronic accepted/preferred):

Requestor email address & telephone number (include mailing address if you do not have an email address):

FCHR/Other Case Information:

Complainant Name:
Respondent Name:
FCHR Case Number:
Closure Date:

Investigating Agency (if other than FCHR):
Case Number (of other agency):
Filing Date:

READ CAREFULLY

You will be notified of reasonable copying costs in accordance with Florida Statutes. Basic file information will be provided at no cost (up to 30 minutes of research/compilation), but packaging and mailing costs may apply. Due to extensive use of technology/personnel; research/compilation, and mailing, costs will apply for case email/file notes. There may be some redaction(s) in your received copy. Copies with a Certificate of Authenticity will be forwarded to you by email or by regular mail. If you do not return this request within 14 calendar days after receipt, OR if the request/invoice is incomplete/unpaid, this request will be considered VOID and a new request will be required to process.

PLEASE ADDRESS ALLWRITTEN COMMUNICATION BY EMAIL TO (DO NOT also send by mail/fax):

records@fchr.myflorida.com

IF YOU DO NOT HAVE EMAIL THEN MAIL or FAX TO (Please send by only one communication method):

Florida Commission on Human Relations

4075 Esplanade Way, Room 110

ATTN: Records

Tallahassee, Florida 32399

Fax: (850) 487-1007

PLEASE DIRECT PHONE INQUIRIES TO THE RECORDS SECTION AT:

(850) 488-7082

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Downloaded From www.TextBookDiscrimination.com
SELL YOUR OWN TEMPLATES (help others get the justice that they deserve)
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