Public Records Request

2. Type of Requestor*
   -- Select One --IndividualOrganization
4. Organization Name:*
6. Requester First Name:*
7. Requestor Last Name:*
8. Email Address:*
10. Address 1:*
12. Address 2:
14. City:*
15. State:*
16. Zip Code:*
18. Phone Number:*
19. Fax Number:
21. Description of Records Requested: *

    (Please describe the public records you wish to receive. In order to expediate the search for the records, please be as specific as possible.)

23. Record Disemination*
    -- Select One --Obtain electronic copies (a copy fee may apply)Review original documentsObtain hard copies (a copy fee may apply)
25. Signature of person making the request:*

    (The District will respond to this request within ten (10) calendar days.)

27. Do you agree?*

    By clicking "I agree," you agree and acknowledge that:
    1. Your application will not be "Signed" in the sense of a traditional paper document; and
    2. By signing in this alternate manner, you agree that your "electronic signature" is valid and binding upon you to the same force and effect as a handwritten signature.

    1. I Agree
Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field