REQUEST FOR RECORDS
FAX: 801.565.8978 EMAIL: firstname.lastname@example.org
Description of record(s) sought
Department Requested From
I would like to view/inspect the record(s)
I would like to receive copies of the record. I understand that the City charges a fee for copies of records and the copies will be provided subject to fees being paid.
I authorize costs of up to $
If costs are greater than the amount I have specified, I further understand that the office will contact me and will not respond to a request for copies if I have not authorized adequate costs.
February 19, 2017