Fillable Application for Public Information (Texas Secretary of State)

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Application for Public Information (Texas Secretary of State)

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______________________________________________________________________
____________________________________________________________________________
_______________________________________________________________________
Application for Public Information
Pursuant to the Texas Public Information Act, Chapter 552 of the Texas Government Code as amended,
application is hereby made to the custodian of information for the Elections Division, Office of the
Secretary of State, to produce for inspection or duplication, or both, the following items(s):
(PRINT DESCRIPTION OF REQUEST BELOW)
_______________
_________
_________
_________
_________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
_____________________________________________________________________________________
Failure to provide a clear and specific request of the documents/ information requesting may result in the delay of your request.
Signed: ___________________________________________________ Date: __________________
Printed Name: ______________________________________ Company: _________________________
Address: _____________________________________________________________________________
_____________________________________________
City/ST_____ __/_______ Zip_______________
PH: (___
_) ______-___________ ) ______-__________C: (____ __ Fax: (____) ______-_____________
E-mail:________
Please note: An application must be completed for each item requested.
Return Application for Public Information to:
Elections Division
Office of the Secretary of State
P.O. Box 12060
Austin, Texas 78711
Email: elections@sos.texas.gov
PH: 800-252-8683 (VOTE)
INTERNAL STAMP DATE
RECEIVED:
The Elections Division, Office of the Secretary of State has 10 business days from the
receipt date to process the request. Additional information of the Public Information Act
and cost rules available Texas Administrative Code, Title 1, Part 3, Chapter 70.
Revised date: 06/2018 PI App Form
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Revised date: 06/2018 PI App Form
Application for Public Information Instructions:
Please complete the form on the reverse side to clearly identify the specific information and/or
data requesting from the Elections Division, Office of the Secretary of State. Failure to provide a
clear and specific request of the documents/ information requesting may result in the delay of
your request. If your request is specific to a TEAM Statewide Voter Registration query please
complete the Public Information Request form specific to that purpose in order to define the
parameters of the request search (see staff for additional information on receiving that form).
Common Charges of Public Information Requests:
Description QTY x Price
Plain copies of hard copies. Charges apply to hard copies which total over 100
pages
per page x $0.10
Statewide Voter Search
(Government Code Section 405.031(b)) 1 x $5.00
Official Certificate (
Government Code Section 405.031) 1 x $15.00
*Statement of Officer - Certified
(Government Code Section 405.031) 1 x $16.00
*Oath of Office - Certified
(Government Code Section 405.031) 1 x $16.00
TEAM Statewide Voter Registration Query – please complete the
Public Information Request form specific to the TEAM Statewide VR system.
Depending on Request
Parameters
*Under our current charge policy and as per the Government Code Section 405.031, if you wish
to receive a certified copy of the oath of office/ a statement of officer, the fee is $15.00 per
certified statement in additional to $1.00 per record page.
Important to note the table of “Common Public Information Request Charges” listed above is NOT
exclusive and depending on the request determines the final cost, if any of the request. Once the
requestor submits the request our office will respond with a cost estimate of any charges prior to
processing the request.
Should you have any questions about this process you may contact 800-252-8683(VOTE) or email
elections@sos.texas.gov
.
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Application for Public Information (Texas Secretary of State)

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Completed 29 July 2020

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