Public Records Form – Online Public Records Request Name(Required) First Last Name of Organization (if applicable) First Address(Required) Street Address City State / Province / Region ZIP / Postal Code Daytime Telephone Number(Required)Date of Request(Required) MM slash DD slash YYYY Email(Required) Requested Records – Requested Information/Records: Please give a brief statement describing the requested information/records, being specific enough for the City to determine the nature, content and department within which the record(s) you are requesting may be located(Required) How do you want respone?(Required) Email Mail Pick-up Thumb drive (you will need to provide) Fax Signature of Requestor(Required)
