MARIE BALTHROP, TRMC/CMC, CITY CLERK
E
RIN HAM, DEPUTY CITY CLERK
1300 7
TH
STREET, P. O. BOX 1431, WICHITA FALLS, TEXAS 76307 - PHONE: 940-761-7409
Public Information Request Form
Name: ___________________ Address: ________________________
Phone: ___________________ ______________________________
Email: _________________________________
Information Being Requested
Please be as specific as possible including any information that might help our search such as date, time,
location, birthdate/age, etc.
Select one of the below options:
o I would like public information only. You agree to allow the City to withhold
information without requiring an Attorney General ruling.
o I would like public and confidential information. You are requesting an Attorney
General ruling when needed to determine what can be withheld. You understand that
this could take 60 business days or more before receiving records.
Please indicate how you would like to
receive your records.
Email
Mailed
On a CD
Paper copies
In Person
On a CD
Paper copies
This form can be submitted by email, mail,
or in person.
• info@wichitafallstx.gov
• City Clerk’s Office
P.O. Box 1431
Wichita Falls, TX 76307
• 1300 7
th
St. Room 104
I understand that the City processes requests in the order received and has 10 business days to request a
determination from the Texas Attorney General’s Office. The City is under no obligation to create a
document to satisfy your request. I understand that a voluminous request may result in a cost estimate
letter requiring payment before my request can be processed.
Date: ______________ Signature: __________________________________
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