Commerce Division of Securities : Request Records  
 

Registration Record Request Form


CONTACT INFORMATION


Your Name:
Your Address:
 
City: State:   Zip:
Telephone: Fax:
E-Mail:

RECORD REQUEST

Fill in all the fields that you know.

Name of Filing:
File Number: Form Type:
Effective Date: City:

SPECIFIC REQUEST

(please check)

Summary Information
Review*
Copy of Entire File
Copy of Form Only
Copy of Specific Items. Please list in space below:

Please note any other questions or comments relevant to this Record Request:

Note: Info/file searches will be limited to computer records that fall within the approved eight (8) year retention for Registration filings. The cost of photocopying is $.05 per page plus postage.

* In the case of a record review, you will be notified when the reqested records will be available for review at The Ohio Division of Securities, 77 South High Street, Floor 22, Columbus, Ohio, 43215-6131.