Request to Become Person of Record
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Request to Become Person of Record


Please fill out the following form. Or click here to download this form.

If you have any questions while signing up this form, please email PPD-POR@ppd.mncppc.org.


Request to Become Person of Record

Application Information


Contact Information
 (ex: MR., Mrs....)
 (ex: Jr., Sr....)
 (ex: xxx-xxx-xxxx)
 (ex: xxxx)
 (ex: xxx-xxx-xxxx)
 (ex: xxxx)


Address Information
 (ex: North, Northwest...)
 (DO NOT enter street name suffixes)
 (ex: North, Northwest...)
 (if applicable)


Additional Comments
   I wish to become a party (person) of record in the case mentioned below. I understand that this will not be considered a valid request unless it is received prior to the close of the hearing record.