<p> Mail Completed Form To: Department of Business and Professional Regulation Attention: Office of Open Government 2601 Blair Stone Road Tallahassee, Florida 32399-2203</p><p>Or Fax to: 850.488.5761</p><p>Public Records Request Form</p><p>Date: ______</p><p>Name (Optional): ______</p><p>Email or Mailing Address: ______</p><p>______</p><p>Phone Number (Optional): (______) ______</p><p>Please provide as much detail as possible about the records you are requesting such as date range, domain names, file numbers, etc. Attach additional sheets if necessary. ______</p>