Section 1: Requester Contact Information

Please provide us with contact information for your request.

Please fill out your preferred method of contact.

Section 2: How are you authorized to obtain records?

    *Upload a copy of your Texas driver's license, ID or other government-issued photo ID (upload will be on the next page).

    *Upload a signed authorization form or court order to obtain confidential information records on another individual or entity
    (upload will be on the next page).

Section 3: Specify the subject of records you seek

Section 4: Specify the type(s) of records you seek

Please select the type(s) of records you seek.
Some selections may require additional information, including a Social Security Number which can be entered at the bottom of this section.

       Indicate the type(s) of UI claim records you seek:

Section 5: Clarify whether you seek confidential records

Are you requesting any and all documents including those that may meet an exception from disclosure under the
Public Information Act (PIA)?

Section 6: Certified records

Do you need the documents certified?

Section 7: Delivery Instructions

How would you like to receive the document(s)?