Public Request Form Requester Information Name (required) Email (required) Phone (Please provide a phone number in case we have any questions regarding your request.) Category of Requester (required)Media Attorney Constituent / Individual Business Lobbyist Organization Records Request What type of public records are you looking for? (required) Usage Reports Communications Legal Documents Notices of Claim Procurement Records Personnel Actions Dates of Record: What is the range of dates for the request? From (mm/dd/yyyy) (required) To (mm/dd/yyyy) (required) Description (required) Name(s) on Record: Name of person(s) on the record or document and/or name of the person(s) involved in the category of records requested Delivery Method: Unless otherwise specified, records will be emailed in an electronic format. You must specify if you wish to receive records in an alternative format (paper copies, CD, DVD, etc.) or via mail or in person. (required)E-mail CD/DVD Paper Copy Mail In Person Commercial Request: If you are submitting a request for a commercial purpose, you must disclose this pursuant to A.R.S. 39-121.03. Please note that a commercial usage fee may apply. Commercial requests should include a fee schedule outlining the "value of the reproduction [of the record] on the commercial market" (A.R.S. 39-121.03(A)). Yes No Attachment: Please attach any additional information that would help us process your request. There was a problem saving your submission. Please try again later. Please wait while your submission is being saved... Submitting...Submit Thank you, your submission has been received.
