_________________________, 20_____
							(Date of Letter)



Department of Public Safety
Attn:  Record Clerk
______________________________
(Room, Floor or P.O. Box)
______________________________
(Government Office Building)
______________________________
(Street Address)
______________________________
(City, State and Zip Code)

RE:  	___________________________________
	(Record Request)

Dear Record Clerk:

	It is my (our) understanding that your office maintains the records for:
_____________________________________________________________________________
________________________ (state specific type of record sought).  The undersigned
hereby requests the specific records of: ____________________________________
____________________________ (specific records requested) for the following reason:
____________________________________________________________________________
(reason for request).

	It is understood that these records are a matter of public information and
are to be made available upon appropriate request; kindly consider this an
appropriate request.  In the event there is any administrative charge for the
information, please notify the undersigned, whereupon remittance will be forthcoming.
Should you need any additional information from the undersigned, please advise
immediately.  Thank you.

							Very truly yours,


							______________________________
							(Signature)
							______________________________
							(Address)
							______________________________
							(City, State and Zip Code)
							______________________________
							(Phone Number)

LAWCHEK, LTD. LETTER PRO Samples, Copyright 2006
This is not a substitute for legal advice.  An attorney must be consulted.