Application For Public Information

Please fill out the applicaton below:

Name of the Requestor:


Mailing Address:

Address Line 2:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Email:


Description of Public Information Requested (Please use as much detail as possible.)


You may inspect the requested information within ten (10) business days of the information being made available to you or receive copies at .10 cents per page. Any copy request of 51 pages or more that require gathering and/or compiling will be charged depending upon material, labor, overhead, postage, etc. at the rate of $15.00 per hour for the time required to fulfill the request. If copy charges exceed $40.00, we will provide you with an Itemized Estimate of Charges. In some instances, we may require a deposit for payment of anticipated copy costs. Active records must exist. No compiling or creation will be made.

I wish to inspect:


I wish copies to be made: (required)


Request Date: (required)


Ensure all required information is filled out and then press SUBMIT to complete the request.