Public Records Request Form

Date * Required
MM slash DD slash YYYY
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Preferred Method for Receiving Disclosable Documents: * Required
- Mail
- Email
- Phone
- Fax
Records or Documents Requested: * Required
Please be as specific and detailed as possible to enable City staff to identify and locate the documents requested. If known, please indicate in which department(s) the records reside. Also, please provide project number, address of property, and any other pertinent information, if known.
Date Range (If Applicable)
From:
MM slash DD slash YYYY
To:
MM slash DD slash YYYY
I agree to pay for all applicable fees and charges for copies of records I have requested: * Required
- Yes
- No
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