Public Records Request

Download Printable Form

Mail, Email, or Fax to:
2275 Corporate Circle Suite 210
Henderson, NV 89074
Fax: (702)-732-2079

Requestor Contact Information

Name
Organization
Address
City
State
Zip
Phone
Email

Records Requested

Check One



Licensee Lists

Delivery

Check One


Public/Government Entity?
(No Fees Charged)

Statement

Are you human?

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