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2. Disclaimer

   Information submitted on this form will be sent via unsecured email. To protect sensitive information, do not enter the following items or similar information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, credit card numbers, medical information, passport numbers, and passwords. Please review our privacy policy located at www.jeffco.us/privacy. By submitting this form, you acknowledge and accept the terms listed in the privacy policy.

4. How Can We Help You*
   -- Select One --Member of the mediaSocial Media, News or NewslettersOpen RecordsGeneral County Questions

   Public Affairs assists with communications for the county including media relations, social media, news and newsletters and open records requests. Please select from the list above.

6. Name*
7. Email Address*
9. Phone Number*
11. Question*
    Please provide us the question and details you have for Public Affairs.
13. Open Records Requests
    Open Records Web Page

    Please view our Open Records Request page to complete your request.
15. General Contact Us Form
    General Contact Us Form

    For all non-Public Affairs questions, please use the county's General Contact Us Form.
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