Disclaimer: Information submitted on this form will be sent via email. To protect sensitive information, do not request the following information on this form: Social Security numbers, driver’s license numbers, bank account information, routing numbers, medical information, passport numbers, and passwords.

State law states you should be advised that you are NOT REQUIRED to complete this form. Verbal requests, written requests and emailed requests will be fulfilled by the City. However, this form will assist in our efforts to provide you with the correct information and properly track your request. We greatly appreciate your cooperation.

List the public record or information you are requesting. Please be specific

Upload photos, documents or information here if needed

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(DOC, DOCX, XLS, XLSX, TXT)

Your Information

Name

Mailing Address

City

State

Zip

Phone

Email

Preferred Method of Contact

Phone Email

Department - select only one*

Fire/EMS (request reports) Police (request police report)

Administration Public Works (Water/Roads/Service)

How shall we fill your request?

Email if possible Paper copy - mailed (must be prepaid including postage costs) Paper copy - pickup in person

Digital copy - mailed (must be prepaid including postage cost) Digital copy - pickup in person

Cost

Paper copies (8 1/2 x 11") - $0.05 cents/page
Legal size paper copies - $0.10 cents/page
Digital requests - at City's cost (i.e. flash drive, micro cassette, etc.)
Postage for mailing - at City's cost
Any other costs incurred - at City's cost

The City will make every effort to accommodate requests for public records as the law permits within a reasonable period.
They will NOT create a report, form or record that does not currently exist to fill a request.

Depending on the request, it may be necessary for the City to change the method of delivery.