PLEASE REVIEW THE FOLLOWING FOR SUCCESSFULLY COMPLETING A FILLABLE PDF FORM:

• Use only the latest version of Adobe Reader to complete fillable PDF forms. Macintosh and Windows versions of Adobe Acrobat Reader DC are available for free from Adobe.


• Before completing the document, save the form (PDF format) to a location on your computer (for example: Desktop or Documents). You must save the file to your computer first and then fill it out. Do not complete the form within your web browser or your data will NOT be saved.

INSTRUCTIONS:

1. After opening the "Click here" link below, download/save the form to a location on your computer using the download icon -
   
   Chrome

   Edge

   Firefox
2. Open the form from the recently saved location on your computer.
3. Complete the form by filling in the appropriate fields.
4. Click "Submit" at the bottom of the form. This will open your email, attach the completed form to your open email, and allow you to send directly to the MCC Release of Information Department.