Open Records Duplication Request Form
PURPOSE: In order to be in compliance with the Open Records & Open Meeting law this form was developed so
that all requests for Open Records can be addressed effectively while maintaining confidentially and security of
Tribal records. Upon receiving this request, Records Management will have contact the requestor within 3 business
days to approve or deny the request.
REQUESTOR INFORMATION:
Print Name:_______________________________________________ Current Date: _____/______/_____
Email: ______________________________________________________
Phone #: ______________________________
NATURE OF REQUEST
□ Personal Request: Information needed is for non-work related purposes. Fees incurred will
be billed directly to you.
OR
□ Work Related Request: Information needed is for work related purposes. Fees incurred will
be billed to your department.
MATERIAL REQUESTING
□ BUSINESS COMMITTEE
□ Minutes □ Resolutions □ Video (only plays in a computer) □ Supporting Documentation □ Other
□ Audio to be played on a computer □ Audio to be played on a home/car CD player
Request Details: □ See attached
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________________________________________________________________________________________
________________________________________________________________________________________
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□ GENERAL TRIBAL COUNCIL (Must provide Oneida enrollment # below)
□ Minutes □ Resolutions □ Video (only plays in a computer) □ Supporting Documentation □ Other
□ Audio to be played on a computer □ Audio to be played on a home/car CD player
Request Details:
□ See attached
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
**Oneida Enrollment #: ____________ Birth Date: ____/_____/_______***