Bastrop County
PUBLIC INFORMATION RECORD REQUEST FORM
Requestor Information:
Name: _______________________________ Email:____________________________
Address:_____________________________ Phone Number:_____________________
Requestor’s Signature_____________________________________ Date:______________
Choose one method of delivery for documents requested: Mail E-Mail Pick up in Person
Tips for requesting information:
1. Be as specific as possible.
2. Include date ranges if applicable.
3. Keep in mind a public information request is to obtain existing documents.
4. Do not use this form if you are needing information from the Sheriff’s Office.
Department you are requesting information from:___________________
Provide details regarding the information you are requesting:
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___________________________________________________________________________
___________________________________________________________________________
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Please submit your request by mail, email or in person using the contact information below.
If you have questions regarding the public information process, contact:
Bastrop County Public Information Records Clerk
804 Pecan Street
Bastrop, Texas 78602
512-581-4080
Email requests to: public.information@co.bastrop.tx.us
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