KEMAH - POLICE DEPARTMENT
1401 Hwy 146, Kemah, TX 77565 Telephone (281) 334-5414 FAX (281) 334-4873
EMAIL: pdrecords@kemah-tx.com
APPLICATION FOR PUBLIC INFORMATION
For guidance regarding your rights as a requestor and the public information procedures adopted by this governmental
body, you may review the governmental body’s notice required under section 552.205 of the Government Code. You
can find additional Public Information Act resources on the Office of the Attorney General's website
.
Requestor Contact Information
Last Name:First Name: ______________________________
Company/Organization:
______________________________________________
______________________________________________________________________________
Mailing Address: ____________________________________________________________________________________
Phone Number:Email Address: ______________________________________________ __
Email Mail
________________________
Preferred Manner of Written Communication: (Select One)
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Description of Information Requested (Note: Describe the information as precisely as you can)
____
____
____
______________________________________________________________________________________________
______________________________________________________________________________________________
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______________________________________________________________________________________________
To:Date Range: From:
___________________________________________________________________________________________
____________________ ____________________
Under the Public Information Act, some categories of information do not have to be released. Exceptions to disclosure
fall into two general categories: 1) mandatory exceptions that make information confidential and require a
governmental body to withhold information, and 2) discretionary exceptions that allow but do not require a
governmental body to withhold information. You may find information about mandatory and discretionary exceptions
In most instances, a governmental body is required to request a decision from the Attorney General in order to withhold
information from a requestor. However, a requestor may permit a governmental body to redact information without
requesting an Attorney General decision. You are not required to agree to the redaction of any information responsive
to your request but doing so may streamline the handling of your request. If you agree to redactions in this request,
then you may request the redacted information in a future information request.
Here
.
• Do you agree to the redaction of information that is subject to mandatory exceptions, provided such
redactions are clearly labeled on the information you received? (Select One) Yes No
• Do you agree to the redaction of information that is subject to discretionary exceptions, provided such
redactions are clearly labeled on the information you receive? (Select One) Yes No
Information Preferences:
• How would you like to have the information provided? (Select One) Copies Inspection
• If available, do you wish to receive an electronic copy of the information? (Select One) Yes No
Please Note: If the information requested is unclear or if a large amount of information is requested you may be
contacted to discuss clarifying or narrowing your request. There may be charges associated with production of the
requested information. You may find more information regarding the charges under the Public Information Act Here.
Title:Received By: ____________________________________ ___________________________________________
Time:Date: _________________________ ______________________
