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Public Data Request Form

Public Data Request Form

Steps

1. Contact Information This section is complete This section is incomplete
2. Type of Data This section is complete This section is incomplete
3. If You're Requesting a Report This section is complete This section is incomplete
4. If You're Requesting a Map This section is complete This section is incomplete
5. Submit Your Request This section is complete This section is incomplete

Contact Information

If you need any assistance filling out this form, please call our office at (910)798-7330.
First Name*
Last Name*
Phone Number*
Email
What's the best way to contact you?
1. Phone
2. Email
3. Either phone or email
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Type of Data

What type of data are you looking for?*
1. Report
2. Map
3. Other
Please provide us with more details about the data you are looking for below.*
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Submit Your Request

Please select how you'd like to receive your data below, then click the Submit button at the bottom of the page.
How would you like to receive your data?*
1. By email (PDF - Free)
2. By email (Excel Sheet - Free)
3. In-person pickup at the NHC Board of Elections Office (Fees may apply - see below)
4. By email & in-person pickup at the NHC Board of Elections Office (Fees may apply - see below)

For in-person pickups, please note:

As outlined and defined in NC.G.S §§ 132-6 (PDF) and 132-6.2 (link), a public agency may assess different fees for different media as prescribed by law.
For data printed by our office, the following fees apply & are payable by cash or check at pickup:

Type of Data	Size	Applicable Fee
Computer Printout - Black & White	8.5x11	$0.20 per page
Computer Printout - Color	8.5x11	$1.00 per page
Printed Map	8.5x11, 11x17, 18x24	$1.00 per map
Printed Map	24x36 & larger	$10.00 per map

We are located at 1241A Military Cutoff Road, Wilmington, NC
(Executive Development Center at the Northeast Library. Use the side entrance facing Military Cutoff Rd, not the main Library entrance.)
- Directions (Link to Google Maps)
Our office hours are 8am - 5pm

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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