Record Release Requests 

Chippewa County Department of Human Services maintains records for a period of 7 years. If you would like to request a copy of your records, please complete the Release of Information form:

Release of Information (ROI) (Please complete one ROI for each member of the household)

Submit Completed Forms:

Note: It may take up to 30 days to process record requests

Fees: Printed records are $0.25/page