* indicates a required field

2. First Name*
3. Last Name*
5. Mailing Address 1*
7. Mailing Address 2
9. City*
10. State*
11. Zip*
13. Phone Number*
14. Email Address*
16. Is this a commercial request?*

    A commercial request is on behalf of a business/organization, not a personal request.

    1. Yes

    1. No
17. Your Business/Organization Name:
19. Requester willing to retrieve records?
    -- Select One --YesNoN/A - In person inspection only

    Is requester able and willing to pick up records in person if they cannot be sent via email, USB via USPS mail, or cloud based file sharing apps? 

21. Records Requested:*
    -- Select One --Electronic Copies (email if format allows)Paper CopiesInspection (in-person)
23. Records*

    Please describe the public records you wish to recieve. In order to expediate the search for the records, please be as specific as possible.

    Please include the following to assist in your search, for example: Approximate dates of records, names of individuals involved or property owners, property address within Storey County, etc. 

25. Department*

    Select a department.

    1. Administration Officer/County Manager Office
    2. Assessor's Office
    3. Business Development Office
    4. Clerk's Office
    5. Comptroller's Office
    6. Community Development/Building Dept.
    7. District Attorney
    8. Emergency Management
    9. Fire Protection District
    10. Health & Community Services

    1. Human Resources Office
    2. Information Technology
    3. Justice Court
    4. Planning Department
    5. Public Works Department
    6. Recorder's Office
    7. Sheriff's Department
    8. Tourism Commission
    9. Treasurer
27. File Upload

    Please upload any documentation pertinent to your request.

29. Do you agree?*

    By clicking "I Agree" you agree and acknowledge that: 1) your application will not be "Signed" in the sense of a traditional paper document and 2) By signing in this alternate manner, you agree that your electronic signature is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
31. Signature of person making the request

    Storey County will respond to this request within five (5) business days.

Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit Submit and Print