Public Records Request Form

Date(Required)

Requesters Name(Required)

First Last

Company (if applicable)

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Street Address for which records are being requested (if applicable)

DESCRIPTION OF RECORDS REQUESTED: Please describe in detail the type of record, date, subject, title, etc.

Time period covering documents requested

Inspection or Purchase Request

*If the records are available electronically, the records will be emailed at no cost.

YOUR REQUEST WILL BE PROCESSED IN COMPLIANCE WITH THE PUBLIC RECORDS ACT

The City has ten (10) days to respond to the requester if it possesses any responsive public records. In “unusual” circumstances, the city may extend the time for responding by an additional fourteen (14) days. The definition of “unusual circumstances” includes: (1) The need to search for and collect the requested records from field facilities or other establishments that are separate from the office processing the request . (2) The need to search for, collect, and appropriately examine a voluminous amount of separate and distinct records that are demanded in a single request. (3) The need for consultation, which shall be conducted with all practicable speed, with another agency having substantial interest in the determination of the request or among two or more components of the agency having substantial subject matter interest therein.
If you have any questions please contact the City Clerk’s Office at 818.790.8880 ext. 109