Important: This form is for requests directed to Township Administration only. All requests for East Brandywine Township Police Department Records such as incident reports should be directed to the Police Department using the form found at this link.

Please read the provided information to learn more about the Open Records Law resolution.

Date of Request*

Name of Requestor*

Street Number

Street Name

City

State

Zip

Phone Number*

E-Mail Address

By checking this box, I affirm that my full name and contact information is true and correct, and that I am a legal resident of the United States. **I understand that failure to check this box may result in the denial of my request and the dismissal of any appeal filed with the Office of Open Records.**

Records Requested*

Yes

No

Do you want copies?*

Yes

No

Do you want to inspect the records?*

Yes

No

Do you want certified copies of records?*

Instructions*

Pick-Up Mail Fax E-Mail Other