Electronic request form

Request public records

Complete this form to describe the public records you are requesting from the Town of New Chicago.

Do not include Social Security numbers, financial account numbers, medical information, or other sensitive personal information in the description unless it is necessary to identify the requested record.

Contact information

Fields marked with an asterisk are required.

First name

Last name

Telephone number

Include an area code.

Email address

Physical residence address

Enter the street or rural-route address where you currently reside. Do not enter a P.O. Box here. A P.O. Box may be entered separately as your mailing address.

Street address

Apartment, suite, or unit

City

State

ZIP code

How the residency indication works

The portal compares the submitted state with the ZIP-code region and checks the physical-address format. This provides an Indiana, out-of-state, or manual-review indication. It does not prove that a particular person occupies the address.

I certify that the physical address entered above is my current physical residence.

Mailing address

Provide a separate mailing address only when it differs from your residence.

My mailing address is the same as my physical residence address.

Mailing street address or P.O. Box

Apartment, suite, or unit

Mailing city

Mailing state

Mailing ZIP code

Records requested

Describe the records as specifically as possible. Include relevant names, departments, subjects, and date ranges.

Description of records requested

The Town may contact you when clarification is needed.

0 / 10,000 characters

Certification

Review the information above before testing the form.

I certify that the information provided in this form is true and accurate to the best of my knowledge.

Human verification

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This Step 5 button does not officially file, save, or email a request.