2. First Name*
3. Last Name*
5. Company / Organization
7. Address 1*
9. Address 2
11. City*
12. State*
13. Zip*
15. Phone Number*
16. Email Address*
18. Is this a commercial request?*

    1. Yes

    1. No
20. Records*

    In order for us to provide a timely and complete response, please provide as much detailed information as possible regarding the records you seek, such as:

    - the people, places and/or things the records involve such as names, addresses, case names, and case numbers.

    - the date or date range of the records; and

    - the office, division, branch or section of the Department that created or maintains the records.

22. Additional Comments
24. Department*

    1. Police
    2. Building
    3. Public Works
    4. Clerk

    1. Community Development
    2. Administration
    3. Finance
    4. Other
26. Signature of person making the request

    The City will respond to this request within ten (10) working days.

28. 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
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