All public records request will be responded to within ten (10) days after receipt of request.
Please be as specific as possible when requesting information:
Date of Request:
Description of
Materials Sought:
Use back of sheet,
or additional sheets
if necessary.
Format (please circle): 1. Paper copies 2. Email 3. Other (please specify):
Name of Requestor:
Address:
City: State: Zip:
Phone number: Fax number:
Email:
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OFFICE USE ONLY: Received by: Initial Response:
FEES:
Copies
Paper size
# copies
Cost
8 ½ x 11 @ $.05
11 x 17 @ $.10
Plotter Copy @ $.50
#Hours
Time
@ $20.88/hr
TOTAL:
Town of Boxborough
29 Middle Road
Boxborough, MA 01719
Public Records Request Form