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2. First Name*
3. Last Name*
5. Address
7. City
8. State
9. Zip
11. Phone Number*
12. Email Address*
14. Records*
    Please describe the public records you wish to receive. In order to expedite the search for the records, please be as specific as possible.
16. Services Requested*

    1. I wish to receive requested records electronically. (Depending on the file size and type of record some records may not be available electronically)
    2. I wish to inspect the requested records. I do not want copies at this time.
    3. I wish to receive copies of requested records. Please contact me with the cost prior to copying.
    4. I wish to receive copies of requested records and I hereby agree to reimburse the City the direct cost of duplication in accordance with Gov. Code Section 6253(b).
18. Acknowledgement of submitting a new public record*
    Type Name
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20. 1. Receive an email copy of this form.
21. Email address

    This field is not part of the form submission.

22. Submit

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