Fillable PUBLIC RECORDS REQUEST (Town of Sahuarita)

Fill Online, Printable, Fillable, Blank PUBLIC RECORDS REQUEST (Town of Sahuarita) Form

Use Fill to complete blank online TOWN OF SAHUARITA (AZ) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

PUBLIC RECORDS REQUEST (Town of Sahuarita)

On average this form takes 5 minutes to complete

The PUBLIC RECORDS REQUEST (Town of Sahuarita) form is 1 page long and contains:

  • 1 signature
  • 11 check-boxes
  • 10 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Town of Sahuarita

BROWSE TOWN OF SAHUARITA (AZ) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
PUBLIC RECORDS REQUEST
RETURN COMPLETED FORM TO THE TOWN CLERK
375 W Sahuarita Center Way, Sahuarita, AZ 85629
Fax: 520.822.8820 / Email: townclerk@sahuaritaaz.gov
Town Use:
Date Received:
Assigned To:
Time to Complete Request:
Date Completed:
I, the undersigned, hereby request (Check appropriate box):
Request Date:
☐
Paper Copies
☐ Pick-up
☐
Mailed
☐
Electronic Copies:
☐ Emailed
☐
CD/DVD
☐
In Person Review
of the following public records (please be specific and name the subject matter, dates, address and the types of documents
requested):
Request Purpose
☐
☐
Legal
☐
Media
☐
*Complete a Statement of Commercial Purpose Pricing Computation Worksheet and Statement of Commercial Purpose below
A Commercial Purpose means that the requestor intends to use the records, directly or indirectly, to receive monetary gain, such
as by selling all or parts of the records, or by using the names, addresses, and phone numbers in the records for solicitation.
*Statement of Commercial Purpose:
Please note the following:
• Receipt of your request will be confirmed via email and processed in the order received. Various factors affect processing
time, including the request size and complexity, and nature of the request. Due to these factors we cannot guarantee a
completion date. We will contact you once the request is complete.
• Fees may be assessed pursuant to state law (A.R.S. § 39-121.01 (D) and § 39-121.03) and town code (3.10.130
Administrative Fees).
•
Pursuant to 17 U.S. Code §107, certain uses of copyrighted material for purposes of research is not an infringement of
copyright. However, if a user uses any copyrighted reproduction for purposes in excess of fair use the user may be liable
for copyright infringement and subject to claims of copyright infringement. The Town of Sahuarita does not indemnify,
nor hold harmless, users of material produced in response to a public records request, nor grant exclusive rights with
respect to such material.
Name:
Signature:
Address:
City:
State:
Zip:
Contact phone:
Email address:
click to sign
signature
click to edit
PUBLIC RECORDS REQUESTS
The Town is required by law to make all records, except confidential records and those protected from disclosure, available
to the public (A.R.S. § 39-121) while safeguarding confidential and personal identifying information. As part of the overall
Town of Sahuarita Strategic Plan, our goal is to create a culture of continuous improvement. In an effort to improve service
to our constituents, we are continually implementing organizational best practices, as such this form may be used to help
facilitate the public records request process.
Public records requests should be submitted in writing to avoid confusion regarding the records being requested.
Requests must describe the record(s) requested in sufficient detail and specificity to allow the record to be located with a
reasonable amount of diligence. Please include the following information in your request:
• A clear and specific description of the information you are requesting including dates, subjects, titles, addresses,
employees or departments of the documents requested.
• Contact information including name, address, contact phone number and email.
Public Record Request Notes
• Staff is unable to provide legal advice.
• Staff is unable to guarantee when a records request will be completed.
• Multiple requests from the same requestor will be processed in the order received.
• Applicable fees for the production of records in response to a public records request will be charged in accordance
with state law and town code.
• Public records requests are not confidential and information regarding the requests, including requestor
information, records requested, and time and cost to fulfill the request may be requested or published.
Commercial Purpose Records Request
A commercial purpose means the use of a public record for the purpose of sale or resale or for the purpose of producing
a document containing all or part of the copy, printout or photograph for sale or the obtaining of names and addresses
from public records for the purpose of solicitation or for any purpose in which the purchaser can reasonably anticipate
the receipt of monetary gain from the direct or indirect use of the public record.
Commercial purpose does not mean the use of a public record as evidence or as research for evidence in an action by any
judicial or quasi-judicial body.
Charges for a commercial request shall include:
1. A portion of the cost to the Town for obtaining the original or copies of the documents, printouts or photographs.
2. A reasonable fee for the cost of time, materials, equipment and personnel in producing such reproduction.
3. The value of the reproduction on the commercial market as best determined by the public body.
In order to help determine the value of the reproduction on the commercial market, individuals requesting records for a
commercial purpose must complete a Statement of Commercial Purpose Pricing Computation Worksheet which may be
obtained from the Town Clerk department by calling 520.822.8803 or emailing townclerk@sahuaritaaz.gov.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

PUBLIC RECORDS REQUEST (Town of Sahuarita)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 16 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document