MCW Consortium on Public and Community Health Public Records Request

To make a public records request to the MCW Consortium on Public and Community Health, please complete the applicable sections of the following form. All fields marked with * are required.

If the cost of copying, mailing and/or locating the records due to an open records requests exceeds $5.00 we may charge for such costs. An estimate will be sent to you and if pre-payment is required, no action will be taken until payment is remitted.

Click 'submit' at the bottom of the form to transmit your request.

*Requestor's Name:
 

Organization Name:
 

Mailing Address (complete if you would like a paper copy of the requested files):

Street Address: 

City:

State:

Zip Code:

Email Address (complete if you would like PDF format of the requested files):
 

Phone Number: 
(please enter in the following format xxx-xxx-xxxx)
 

*To the extent known, please identify the specific title of the document, description of document contents and the date it was issued (if applicable). For information pertaining to Consortium funded projects, please indicate the project title, and portions of the proposal that you are interested in receiving. Project descriptions are available for review on our webpage.

Thank you for your request to the Advancing a Healthier Wisconsin Endowment. You will receive a response to your request as soon as practicable.