Full Text
GRAMA – Records Request Form Description of records requested: (Be as specific as possible; type of records, subject, year or dates wanted, etc.) Check all that are applicable: I would like to review/inspect the records. I would like to receive electronic copies of the records. I would like to receive hard copies of the records. I understand that I will be responsible for copy costs. I would like to request a waiver of costs as provided in UCA 63G-2-203(4). Supporting documentation is attached. I authorize costs of up to I understand that prepayment of fees over $50.00 may be required and that I will be contacted if estimated costs are greater than the above specified amount. If the requested records are not public, please explain why you believe you are entitled to access. I am the subject of the record. I am the person who submitted the record. I am authorized to access the record by the subject of the record (consent for release is attached). Other, please explain: I am requesting an expedited response as permitted by UCA 63G-2-204(4). Please attach information showing status as a member of the media and a statement that the records are required for a story for broadcast or publication, or other information demonstrating entitlement to an expedited response. Name of Address: City: State: Zip Code: Daytime Phone Number: Signature: Please note that UCA 63G-2, Government Records and Access Management Act (GRAMA), does not require any agency to create any record to fulfill a request. SIGN