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Florida Public Records Exemption Form

Public Records Exemption Request (Revised 08-2021)

To request the exemption for information contained within records of the Department of State, complete the form and turnplease to: re Secretary of State, c/o Public Records Custodian Director, R.A. Gray Building, 500 S. Bronough St., Tallahassee, FL 32399. For more information, contact 850-245-6536.

https://files.floridados.gov/media/695951/dos119.pdf

PUBLIC RECORDS EXEMPTION REQUEST to the FLORIDA DEPARTMENT OF STATE

to theFLORIDA DEPARTMENT OF STATE Florida law allows eligible persons and their employing agencies to request in writing that a non-employing agency maintain as exempt from public disclosure certain identification and/or location information contained in records within the agency’s custody. If an employing agency is requesting for the employee

https://files.floridados.gov/media/696331/dos119-public-records-exemption-form.pdf

PUBLIC RECORDS EXEMPTION REQUEST to the FLORIDA DEPARTMENT OF STATE

to theFLORIDA DEPARTMENT OF STATE Florida law allows eligible persons and their employing agencies to request in writing that a non-employing agency maintain as exempt from public disclosure certain identification and/or location information contained in records within the agency’s custody. If an employing agency is requesting for the employee

https://files.floridados.gov/media/701640/dos119-public-records-exemption-form.pdf

Public Records Exemption Request Form - Florida

To claim a personal exemption under Section 119.071(4)(d), F.S., this form must be completed in its entirety, notarized and submitted to the Human Resource Office at your Agency before the exemption request will be processed. In accordance with the provisions of Section 119.071(4)(d), F.S., I hereby request the following public record exemption(s):

https://www.dms.myflorida.com/content/download/153139/1018196/Public_Records_Exemption_Request_Form_-_Personal_Exemption_08-02-21.pdf Public Records Exemption Request Form - Florida

PUBLIC RECORDS EXEMPTION REQUEST to the FLORIDA DEPARTMENT OF STATE

PUBLIC RECORDS EXEMPTION REQUEST to the FLORIDA DEPARTMENT OF STATE Florida law allows eligible persons and their employing agencies to request in writing that a non-employing agency maintain as exempt from public disclosure certain identification and/or location information contained in records within the agency’s custody.

https://files.floridados.gov/media/701707/dos119-public-records-exemption-71219form.pdf

REQUEST FOR EXEMPTION FROM PUBLIC RECORDS

individual qualifying for an exemption. • The request for the Chapter 119, Florida Statutes public records exemption made to FDLE is for public records maintained by FDLE. • Submission of this Request form is only necessary if FDLE has Chapter 119, Florida Statutes public records identifying you or your spouse/child/dependent.

https://www.fdle.state.fl.us/OGC/Public-Records/RequestExemptionForm.aspx REQUEST FOR EXEMPTION FROM PUBLIC RECORDS

Public Records Exemption Request - Ethics

records in our custody. § 119.071(4)(d)3., F.S. You are not required to use this form; however doing so will help us keep your information confidential. Please return this completed form or a written and notarized request to: Florida Commission on Ethics, P.O. Drawer 15709, Tallahassee, Florida 32317.

http://ethics.state.fl.us/Documents/Forms/PublicRecordsExemption.pdf?cp=2021818 Public Records Exemption Request - Ethics

Class/Job Specific Public Records Exemption Request Form - Florida

Modified: July 14, 2021 Class/Job Specific Public Records Exemption Request Form Instructions: Pursuant to Section 119.071(4)(d), Florida Statutes (F.S.), specified personal information may be exempted from public record inspection for employees holding certain jobs within state government.

https://www.dms.myflorida.com/content/download/153137/1018190/Public_Records_Exemption_Request_Form_-_Class_Job_Specific_Exemption_08-02-21.pdf Class/Job Specific Public Records Exemption Request Form - Florida